Mrs. Nicole Renee Tucker
Mrs. Nicole Renee Tucker is a Physical Therapy Assistant in Decatur, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
2300 N Edward StDecatur, IL 62526-4163
Phone: (217) 876-2600
Fax: (217) 876-2615
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160005008 (IL) |
|---|
Record details
| NPI number | 1194089359 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 2, 2012 |
| Last updated in NPPES | July 2, 2012 |
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Darla Renee Winings, PTA
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