Individual
JENNIFER LUCKENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 N BROAD ST, ELM TERRACE GARDENS, LANSDALE, PA 19446-2361
(215) 362-6087
(215) 412-3495
Mailing address
412 E BROAD ST, QUAKERTOWN, PA 18951-1766
(267) 373-9162
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006090
PA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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