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Individual

EMILY JOANN LUCHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. OTR/L

Contact information

Practice address
3613 S 13TH ST, SHEBOYGAN, WI 53081-7253
(715) 572-5893
Mailing address
708 FOND DU LAC ST, MOUNT CALVARY, WI 53057-9520
(715) 572-5893

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4950-026
WI

Other

Enumeration date
12/09/2010
Last updated
01/17/2012
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