Kathy Jeanne Tucker C.O.T.A.

NPI 1164622585 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1164622585
Gender Female
Enumeration Date 07/23/2007
Last Updated 09/04/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1513 BOULDER WAY
SUN PRAIRIE WI, 53590-1253, US
Phone (608) 837-6152
Fax
Business Location
520 E. HOLUM STREET
DEFOREST WI, 53532, US
Phone (608) 842-6500
Fax (608) 837-9484
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 254-027
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According to our database, Mrs. Kathy Jeanne Tucker C.O.T.A. NPI is 1164622585, taxonomy code is 224Z00000X and license number is 254-027, license state is located at Wisconsin. Kathy Jeanne Tucker C.O.T.A. physically located at 1513 Boulder Way, Sun Prairie WI, 53590-1253. NPI Number Kathy Jeanne Tucker C.O.T.A. has the Individual type.

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1164622585 NPI number is provided on an as is basis without warranty of any kind. 1164622585 is maintained by the National Plan & Provider Enumeration System. The contents of Kathy Jeanne Tucker C.O.T.A. are for informational purposes only.