Mrs. Lori Gilliam Tucker
Occupational Therapist Low Vision Occupational Therapist - Physical Rehabilitation
3202 Crescent Oaks Blvd
Tarpon Springs
, Florida 34688-7604
Mrs. Lori Gilliam Tucker
Occupational Therapist Low Vision Occupational Therapist - Physical Rehabilitation
3202 Crescent Oaks Blvd
Tarpon Springs
, Florida 34688-7604
(727) 424-7270
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About
Features
Specialties
- Occupational Therapist
- Low Vision
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Lori Gilliam Tucker
- 3202 Crescent Oaks Blvd
- Tarpon Springs, FL
- Zip : 34688-7604
- Phone : (727) 424-7270
Second Address
- Mrs. Lori Gilliam Tucker
- 3202 Crescent Oaks Blvd
- Tarpon Springs, FL
- Zip : 34688-7604
- Phone : (727) 424-7270
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Is Mrs. Lori Gilliam Tucker a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT12202 | FL |
| N | 225XL0004X | Low Vision | OT12022 | FL |
| N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT12202 | FL |
National Provider Identifier
| NPI | 1043636749 |
|---|---|
| Provider Name | Mrs. Lori Gilliam Tucker |
| First Address | Tarpon Springs, FL 34688-7604 |
| Second Address | Tarpon Springs, FL 34688-7604 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/03/2014 |
| Last Update Date | 05/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.