Individual
MRS. KRISTIN MARIE LUCCHESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6 THREE OAKS LN, BLUFFTON, SC 29910-7976
(772) 349-3129
Mailing address
6 THREE OAKS LN, BLUFFTON, SC 29910-7976
(772) 349-3129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3491
SC
225X00000X
Occupational Therapist
OT9028
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8853541
—
FL
05
—
TH2231
—
SC
Enumeration date
04/13/2007
Last updated
06/24/2010
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