Individual
ANGELA KOREN LUCCHESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172-3708
(414) 764-4100
Mailing address
2533 E BOTTSFORD AVE, SAINT FRANCIS, WI 53235-5646
(414) 573-3766
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
531627
WI
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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