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1912969973
TIMOTHY WAYNE TUCKER
BOLINGBROOK, IL
NPI
1912969973
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 21247)
Enumeration Date
2006-04-05
Last Update Date
2024-03-07
Business Address
TIMOTHY WAYNE TUCKER MPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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Mailing Address
TIMOTHY WAYNE TUCKER MPT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number:
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