Individual
MARGARET ALICE LUCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2134 N 64TH ST, WAUWATOSA, WI 53213-2028
(414) 915-2776
Mailing address
2134 N 64TH ST, WAUWATOSA, WI 53213-2028
(414) 915-2776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1074-019
WI
Other
Enumeration date
05/10/2009
Last updated
05/10/2009
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