Doctor Name: | MICHAEL DOMNIC TUCCIO |
NPI Number: | 1710975339 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT20245 |
Business Practice Address: | 16313 Muirfield Dr Odessa, FL - 335565424 |
Business Phone Number: | 8138412576 |
Business Fax Number: | 8137927484 |
Mailing Address: | 16313 Muirfield Dr, ODESSA |
State: | FL |
Postal Code: | 335565424 |
Phone Number: | 8138412576 |
Fax Number: | 8137927484 |
NPI Enumeration Date: | 10/07/2005 |
NPI Last Update Date: | 08/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT20245 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |