Individual
COURTNEY LUCKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7700 YORK RD, TOWSON, MD 21204-7513
(410) 512-3542
(410) 821-3927
Mailing address
3401 BLUEBERRY LN, REISTERSTOWN, MD 21136-4005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01723
MD
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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