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Breonna Tucker, PT,DPT

NPI 1134990815 · on the registry since 2024

Practice

Address
3018 Festival Way # 323
Waldorf, MD 20601
Phone
(240) 754-5520
Fax
(301) 705-6797
Organisation at this address
Ati Holdings, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 3018 Festival Way Unit 323, Waldorf, MD

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland