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Individual

MRS. AMY C LUKASIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
57 W EAGLE RD, HAVERTOWN, PA 19083-2234
(610) 789-9887
(610) 789-9883
Mailing address
1641 SURREY LN, HAVERTOWN, PA 19083-2525
(610) 449-5678

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-006920L
PA

Other

Enumeration date
06/06/2006
Last updated
07/08/2007
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