Individual
NOELLE DE LUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2965 20TH ST, VERO BEACH, FL 32960-3097
(772) 567-8585
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225200000X
Physical Therapy Assistant
Primary
PTA32836
FL
Other
Enumeration date
04/10/2023
Last updated
09/07/2023
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