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Individual
MRS. BERNADETTE T LUCE
Active
Individual
MRS. BERNADETTE T LUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3955
SC
225X00000X
Occupational Therapist
OT000261
GA
Other
Enumeration date
09/14/2012
Last updated
09/14/2012
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