Angela J Tucker, OTR/L
Individual provider Active NPI Gerontology Occupational Therapist · Rindge, NH
NPI 1457695348 · NPPES record last updated Apr 21, 2023
Key facts
- NPI
- 1457695348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Occupational Therapist 225XG0600X
- License
- 1812 (NH)
- Practice address
- 21 Hubbard Hill Rd
Rindge, NH 03461 - Phone
- (603) 762-0921
- NPI assigned
- Nov 16, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1812 | NH | MD | Clinical Social Worker |
| 8159 | MA | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 1812 | NH | Yes |
| Peer Specialist | 175T00000X | 8159 | MA |
Addresses
Primary practice location
21 Hubbard Hill Rd
Rindge, NH 03461
Mailing address
10 Southville Rd
Southborough, MA 01772-4029
Phone (978) 223-1278
Other providers in Rindge, NH
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- Brenda Thonis
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- Diane Wayman
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- Heather Michelle Zellweger
All providers in Rindge, NH · Gerontology Occupational Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.