Individual
MR. LUKE MCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3325 WILLOWCREEK, PORTAGE, IN 46368-5885
(219) 764-4888
(219) 764-7676
Mailing address
PO BOX 2385, PORTAGE, IN 46368-5885
(219) 764-4888
(219) 764-7676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004914AI
IN
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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