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Individual

DAVID CHRISTIAN LUTCHKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSOT, OTR

Contact information

Practice address
2580 PRUDEN BLVD, SUFFOLK, VA 23434-4229
(757) 934-2363
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
(800) 995-2673

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009848
VA
225X00000X
Occupational Therapist
072.0134307FCTY
VT
225X00000X
Occupational Therapist
14562
MA
225X00000X
Occupational Therapist
OC017909
PA

Other

Enumeration date
03/02/2023
Last updated
03/02/2023
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