Individual
MAMIE ISABELLE LUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1900 LAUDERDALE DR, RICHMOND, VA 23238-3933
(804) 729-5563
Mailing address
12141 LOBLOLLY LN, ROCKVILLE, VA 23146-1833
(804) 986-9618
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/31/2024
Last updated
05/31/2024
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