Leslie Clark Tucker OTR

NPI 1780739219 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1780739219
Gender Female
Enumeration Date 01/24/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4140 OLD MILL PKWY
SAINT PETERS MO, 63376-6550, US
Phone (636) 926-2700
Fax (636) 447-4919
Business Location
4140 OLD MILL PKWY
SAINT PETERS MO, 63376-6550, US
Phone (636) 926-2700
Fax (636) 447-4919
Toxanomy
Taxonomy Code 225XP0200X
License State Missouri
License Number 2000162238
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According to our database, Mrs. Leslie Clark Tucker OTR NPI is 1780739219, taxonomy code is 225XP0200X and license number is 2000162238, license state is located at Missouri. Leslie Clark Tucker OTR physically located at 4140 Old Mill Pkwy, Saint Peters MO, 63376-6550. NPI Number Leslie Clark Tucker OTR has the Individual type.

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1780739219 NPI number is provided on an as is basis without warranty of any kind. 1780739219 is maintained by the National Plan & Provider Enumeration System. The contents of Leslie Clark Tucker OTR are for informational purposes only.