Individual
SUZANNE ELAINE LUKOVICS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
12708 RIATA VISTA CIR # A105, AUSTIN, TX 78727-7167
(800) 219-7012
(512) 852-4485
Mailing address
12708 RIATA VISTA CIR # A105, AUSTIN, TX 78727-7167
(800) 219-7012
(512) 852-4485
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1306173
TX
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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