STEPHANIE NICHOLE TUCKER

MARION, IL
NPI1457953002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.005508)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
Enumeration Date2020-11-09
Last Update Date2020-11-19
Business Address
STEPHANIE NICHOLE TUCKER COTA
1301 E DEYOUNG ST
MARION, IL 62959-3846
Phone number: 618-997-1365
Mailing Address
STEPHANIE NICHOLE TUCKER COTA
508 N HORN ST
WEST FRANKFORT, IL 62896-1847
Phone number: 618-579-6399