Individual
MS. CATHERINE MARIE LUCKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2 FLETCHER ST, GOSHEN, NY 10924-1402
(845) 294-8806
(845) 294-8650
Mailing address
2 FLETCHER ST, GOSHEN, NY 10924-1402
(845) 294-8806
(845) 294-8650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004066-1
NY
Other
Enumeration date
07/12/2011
Last updated
07/18/2011
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