Individual
ANDREA LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
125 COOL ROCK, BOERNE, TX 78006-2998
(575) 637-9089
Mailing address
125 COOL ROCK, BOERNE, TX 78006-2998
(575) 637-9089
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109492
TX
225X00000X
Occupational Therapist
2162
NM
Other
Enumeration date
01/07/2008
Last updated
11/08/2019
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