MARY A LUCK

APPLETON, WI
NPI1588045637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2321-19)
Enumeration Date2015-06-15
Last Update Date2021-10-07
Business Address
MARY A LUCK PTA
1705 S HYCREST DR
APPLETON, WI 54914-5155
Phone number: 920-832-1213
Mailing Address
MARY A LUCK PTA
1705 S HYCREST DR
APPLETON, WI 54914-5155
Phone number: 920-832-1213