NPI 1083600886

Diana Tucker, PTA

Practitioner Physical Therapy Assistant Ellicott City, MD

Practice location

Address: 4801 Dorsey Hall Dr Suite 130, Ellicott City, MD 21042-7766
Phone: (410) 730-9851
Fax: (410) 730-9855

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A2081 (MD)

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Registry record

NPI: 1083600886
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.