Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1530 | MA |
NPI | 1982804498 |
---|---|
Provider Name | Donna Lucci |
First Address | North Reading, MA 01864-3231 |
Second Address | North Reading, MA 01864-3231 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 23/07/2007 |