Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Nichole Tucker, COTA

Individual provider Occupational Therapy Assistant · NPI 1457953002

Stephanie Nichole Tucker, COTA is an Occupational Therapy Assistant in Marion, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
Specialties on file
2
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

1301 E Deyoung St
Marion, IL 62959-3846
Phone: (618) 997-1365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057.005508 (IL)
Occupational Therapy Assistant Taxonomy 224Z00000X

Record details

NPI number1457953002
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedNovember 9, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

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