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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GARY TUCKER

Active Sole Proprietor

GARY TUCKER is a Occupational Therapy Assistant healthcare provider located in KOSCIUSKO, Mississippi. NPI 1083929400 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · KOSCIUSKO, MS

Registration Details

NPI Number
1083929400
Provider Type
Individual
Gender
Male
NPI Issued
Aug 10, 2010 (15.970281119708 yrs)
Last Updated
Aug 10, 2010
License
TA0288 (MS)
Sole Proprietor
Yes

Practice Information

Address
310 AUTUMN RIDGE DR
KOSCIUSKO, MS, 390903242
Browse MS providers · Browse ZIP 39090
Phone
6622893499
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in KOSCIUSKO, MS

Name Credential NPI
STEFANIE CARTER COTA/L 1124296686
LATOYA JONES 1023323995
JORDAN L COURTS 1275829988
MONICA LOPEZ 1770031353
SANDY HEATH COCKRELL 1679025928
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.