| Doctor Name: | JESSICA LUCCHIO |
| NPI Number: | 1730429648 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 40QA01487100 |
| Business Practice Address: | 6307 Ventnor Ave Ventnor City, NJ - 084062273 |
| Business Phone Number: | 6098222628 |
| Business Fax Number: | 6098225173 |
| Mailing Address: | 6307 Ventnor Ave, VENTNOR CITY |
| State: | NJ |
| Postal Code: | 084062273 |
| Phone Number: | 6098222628 |
| Fax Number: | 6098225173 |
| NPI Enumeration Date: | 03/01/2013 |
| NPI Last Update Date: | 04/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01487100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |