Individual
GABRIELLE LUKSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3914 W NEPTUNE ST APT 28, TAMPA, FL 33629-5833
(772) 485-5655
Mailing address
3914 W NEPTUNE ST APT 28, TAMPA, FL 33629-5833
(772) 485-5655
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA28944
FL
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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