Individual
KRISTINA LUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
2601 REYNOLDA RD, WINSTON SALEM, NC 27106-3863
(336) 331-3405
Mailing address
4449 EAGLES NEST DR, WINSTON SALEM, NC 27127-6765
(336) 784-8977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4657
NC
Other
Enumeration date
10/18/2011
Last updated
09/05/2019
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