KENNETH A TUCKER

SAN RAFAEL, CA
NPI1225006430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT006218)
Enumeration Date2006-03-14
Last Update Date2010-08-10
Business Address
Mr. KENNETH A TUCKER P.T.
711 D ST #102
SAN RAFAEL, CA 94901-3707
Phone number: 415-456-3551
Mailing Address
Mr. KENNETH A TUCKER P.T.
711 D ST #102
SAN RAFAEL, CA 94901-3707
Phone number: 415-456-3551
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