Individual
BRIANNA LUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T
Contact information
Practice address
980 ROOSEVELT STE 100, IRVINE, CA 92620-3670
(949) 333-6400
Mailing address
980 ROOSEVELT STE 100, IRVINE, CA 92620-3670
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
292797
CA
Other
Enumeration date
03/16/2017
Last updated
11/13/2018
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