Provider Demographics
NPI:1760923577
Name:TUCCIARONE, RYANN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:RYANN
Middle Name:
Last Name:TUCCIARONE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3336 ALMAR KNOT DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4086
Mailing Address - Country:US
Mailing Address - Phone:615-586-1855
Mailing Address - Fax:
Practice Address - Street 1:3336 ALMAR KNOT DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4086
Practice Address - Country:US
Practice Address - Phone:615-586-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-13
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1818224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant