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ALICE DONAHOE LUCK PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1023270402

Individual Registrant:
 ALICE DONAHOE LUCK PT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5372B OLD VIRGINIA STREET  URBANNA, VA 23175 US
Tel: 804-758-5250  Fax: 804-758-5183

Contact information for business:
5372B OLD VIRGINIA STREET  URBANNA, VA 23175 US
Tel: 804-758-5250  Fax: 804-758-5183

Registration Information:
NPI: 1023270402
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
VA2305001088

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
4978137VA05




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