National Provider Identifier

Devon Kay Tucker, MSOT, OTR/L

Devon Kay Tucker, MSOT, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Ithaca, NY and a listed phone number of (607) 274-4159.

NPI 1245746056Ithaca, NYOccupational Therapist

Profile Overview

NPI
1245746056
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
December 18, 2017
Last Updated
December 18, 2017

Practice Location

  • 10 Brentwood Dr Ste A
  • Ithaca, NY 14850-1866

Phone: (607) 274-4159

Mailing Address

  • 183 Ludlowville RD
  • Lansing, NY 14882-9039

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1245746056
Entity Type
Individual
Last Name
Tucker
First Name
Devon
Middle Name
Kay
Credential
MSOT, OTR/L
Mailing Street Address
183 Ludlowville RD
Mailing City
Lansing
Mailing State
NY
Mailing ZIP Code
14882-9039
Mailing Country
US
Mailing Phone
(607) 382-5371
Practice Street Address
10 Brentwood Dr Ste A
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1866
Practice Country
US
Practice Phone
(607) 274-4159
Enumeration Date
December 18, 2017
Last Updated
December 18, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)