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Diane M Luca, PTA

Physical Therapy Assistant in Needham, MA. Individual provider (NPI-1).

NPI number1265609366
StatusActive
Last updated in NPPESMay 8, 2008

Details

NPI
1265609366
Entity type
Individual (NPI-1)
Name
Mrs. Diane M Luca
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
May 8, 2008
Last updated
May 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant3481MAYes

Practice location

150 Lincoln St
Needham, MA 02492-2914

Phone 781-449-4040

Mailing address

19 Wentworth Rd
Canton, MA 02021-1646

Phone 781-828-3370

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