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Individual

HOPE MARIE LUSK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
2050 40TH AVE STE 1, VERO BEACH, FL 32960-2467
(772) 567-0061
(772) 567-0062
Mailing address
5060 8TH PL, VERO BEACH, FL 32966-2801
(772) 567-0061

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
12925
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
892760000
FL
Enumeration date
11/12/2007
Last updated
02/06/2017
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