Tucker, Dale Agnes

Tucker, Dale Agnes is an individual health care provider with primary practice located at 600 W North Blvd Suite D, Leesburg FL 34748-5063. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Tucker, Dale Agnes can be contacted via phone (352) 787-9300.

Contact Information

Primary practice address
600 W North Blvd Suite D Leesburg FL 34748-5063
Phone: (352) 787-9300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA 1561 Florida

Profile Details

NPI number 1366576779
LBN Legal business name Tucker, Dale Agnes
Credentials LPTA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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