Diana Tucker PTA

NPI 1083600886 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1083600886
Gender Female
Enumeration Date 09/27/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4801 DORSEY HALL DR
SUITE 130
ELLICOTT CITY MD, 21042-7766, US
Phone (410) 730-9851
Fax (410) 730-9855
Business Location
4801 DORSEY HALL DR
SUITE 130
ELLICOTT CITY MD, 21042-7766, US
Phone (410) 730-9851
Fax (410) 730-9855
Toxanomy
Taxonomy Code 225200000X
License State Maryland
License Number A2081
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According to our database, Diana Tucker PTA NPI is 1083600886, taxonomy code is 225200000X and license number is A2081, license state is located at Maryland. Diana Tucker PTA physically located at 4801 Dorsey Hall Dr, Ellicott City MD, 21042-7766. NPI Number Diana Tucker PTA has the Individual type.

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1083600886 NPI number is provided on an as is basis without warranty of any kind. 1083600886 is maintained by the National Plan & Provider Enumeration System. The contents of Diana Tucker PTA are for informational purposes only.