Individual
SANDY LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6608 RAYTOWN RD, RAYTOWN, MO 64133-5265
(816) 268-7087
(816) 268-7039
Mailing address
6608 RAYTOWN RD, RAYTOWN, MO 64133-5265
(816) 268-7087
(816) 268-7039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000040
MO
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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