Individual
STEPHANIE LAUREN LUKITSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3023 S 84TH ST, WEST ALLIS, WI 53227-3703
(414) 607-4100
Mailing address
1680 96TH ST UNIT 1, STURTEVANT, WI 53177-1851
(312) 636-6722
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6389
WI
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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