Individual
MRS. LORETTA KAY LUKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
41 HEBNER ST, JAMESTOWN, NY 14701-8441
(716) 483-4465
Mailing address
41 HEBNER ST, JAMESTOWN, NY 14701-8441
(716) 483-4465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000796-1
NY
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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