Individual
MICHAEL CHRISTOPHER DE LUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
41 PHEASANT RIDGE DR, WATERTOWN, CT 06795-1668
(203) 558-3895
Mailing address
41 PHEASANT RIDGE DR, WATERTOWN, CT 06795-1668
(203) 558-3895
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004795
CT
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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