KEITH WILLIAM TUCKER

DIX HILLS, NY
NPI1255608949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  007319-1)
Enumeration Date2011-11-23
Last Update Date2011-11-23
Business Address
Mr. KEITH WILLIAM TUCKER pt
35 CARMAN RD
DIX HILLS, NY 11746-5651
Phone number: 631-549-5580
Mailing Address
Mr. KEITH WILLIAM TUCKER pt
57 KENNETH AVE
HUNTINGTON, NY 11743-4930
Phone number: 631-623-6216
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