Kenneth A Tucker, P.T. Valid NPI

Individual provider · Physical Therapist · San Rafael, CA

NPI

1225006430

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT006218 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-03-14

Last updated

2010-08-10