Doctor Name: | MR. STEVEN JAMES LUCCI |
NPI Number: | 1023248556 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT00811 |
Business Practice Address: | 100 Smithfield Ave Pawtucket, RI - 028603497 |
Business Phone Number: | 4017259666 |
Business Fax Number: | 4017225896 |
Mailing Address: | 100 Smithfield Ave, PAWTUCKET |
State: | RI |
Postal Code: | 028603497 |
Phone Number: | 4017259666 |
Fax Number: | 4017225896 |
NPI Enumeration Date: | 07/17/2009 |
NPI Last Update Date: | 07/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT00811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |