Cerisse Tucker, PTA Valid NPI

Individual provider · Pediatric Skilled Nursing Facility · Maple Heights, OH

NPI

1043602998

Type

Individual (Type 1)

Primary specialty

Pediatric Skilled Nursing Facility (Skilled Nursing Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

3140N1450X

License number

09429 (OH)

Sex

Female

Sole proprietor

Yes

Enumerated

2015-03-02

Last updated

2015-03-02