Individual
NICHOLAS LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
508 10TH AVE, BELMAR, NJ 07719-2317
(732) 910-9196
Mailing address
PO BOX 851, BELMAR, NJ 07719-0851
(732) 910-9196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00982100
NJ
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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