NPI 1548630478

Paula Jeannette Tucker, OTRL

Practitioner Contractor Chandler, AZ

Practice location

Address: 4800 W Commonwealth Pl, Chandler, AZ 85226-4861
Phone: (602) 733-1973

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2107 (AZ)

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Registry record

NPI: 1548630478
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2015
Record last updated: 5 Oct 2015

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.