Individual
STEPHANIE JOANNE LUCIGNANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
303 BANK AVE, RIVERTON, NJ 08077-1113
(856) 829-2274
Mailing address
78 PATRICIA LN, MOUNT LAUREL, NJ 08054-4413
(609) 636-6008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09170100
NJ
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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