Tucker, Dona C

Tucker, Dona C is an individual health care provider with primary practice located at 10560 Main St Ste 417 , Fairfax VA 22030. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Tucker, Dona C can be contacted via phone (703) 717-5667.

Contact Information

Primary practice address
10560 Main St Ste 417 Fairfax VA 22030
Phone: (703) 717-5667
Fax: (703) 754-4435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2368 Colorado

Profile Details

NPI number 1598895369
LBN Legal business name Tucker, Dona C
Credentials OTR/L CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Feb 7th, 2019 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598895369 NPPES
Other 017201 KAISER-COMMERCIAL NUMBER
MEDICAID 29750237 KAISER-COMMERCIAL NUMBER

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