Individual
KIRSTIN LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
88 SECRET HOLLOW RD, MONROE, CT 06468-1284
(203) 268-0198
Mailing address
88 SECRET HOLLOW RD, MONROE, CT 06468-1284
(203) 268-0198
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1451
CT
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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