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Individual

AMY ELIZABETH CLUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2320 CALLE REAL, SANTA BARBARA, CA 93105-4231
(805) 687-8553
Mailing address
2320 CALLE REAL, SANTA BARBARA, CA 93105-4231
(805) 687-8553

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16104
MA
225100000X
Physical Therapist
Primary
PT295769
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y68879
BCBS
MA
Enumeration date
12/22/2008
Last updated
12/19/2022
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