Individual
AMY LYNN LUCKENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8250 STATE STREET RD, BATAVIA, NY 14020-1060
(585) 344-7900
Mailing address
80 MUNSON ST, LE ROY, NY 14482-8933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020684
NY
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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