Individual
ELIZABETH DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OCS
Contact information
Practice address
145 SMOKERISE DR, WADSWORTH, OH 44281-8702
(330) 335-4200
(330) 335-7131
Mailing address
145 SMOKERISE DR, WADSWORTH, OH 44281-8702
(330) 335-4200
(330) 335-7131
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT05463
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2294002
—
OH
Enumeration date
10/21/2005
Last updated
07/08/2007
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