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Individual

GINA LUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
708 LAGOON DRIVE, UNIT C, FRISCO, CO 80443-2241
(505) 550-1428
Mailing address
PO BOX 2241, FRISCO, CO 80443-2241
(505) 550-1428

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Enumeration date
09/14/2006
Last updated
11/18/2015
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