Individual
JESSICA LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1777 OLD EARNHARDT RD, KANNAPOLIS, NC 28083-8023
(704) 799-6824
(704) 799-6825
Mailing address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
(704) 799-6825
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16913
NC
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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