# MARICELA LUCCHETTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1841921152
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 17080-24 | WI | Yes |
| 225200000X | Physical Therapy Assistant | 160.008743 | IL | — |

## Other

- **Enumeration date:** 06/19/2022
- **Last updated:** 03/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100307544 | — | WI |