| NPI | 1255469102 |
|---|---|
| Former Name | ANNE WHITNEY TUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KY 002620) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05004742) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-12-04 |