Individual
ANAIS LUCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 RIPTIDE PL, PALM COAST, FL 32164-6507
(386) 338-8691
Mailing address
11 RIPTIDE PL, PALM COAST, FL 32164-6507
(386) 338-8691
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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