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NPI Code Detail

MEDICARE: ERIN GRACE LUCIANO OTR

MEDICARE: ERIN GRACE LUCIANO OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1973WV

General Provider Information

NPI Number : 1073097051
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN GRACE LUCIANO OTR
Provider Business Mailing Address
First Line : 179 STATION PL
Second Line :
City : HURRICANE
State : WV
Zip : 25526-6578
Country : US
Telephone Number : 304-760-6300
Fax Number : 304-201-5123
Provider Business Practice Location Address
First Line : 179 STATION PL
Second Line :
City : HURRICANE
State : WV
Zip : 25526-6578
Country : US
Telephone Number : 304-760-6300
Fax Number : 304-201-5123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2018
Last Update Date : 07/01/2026

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Directions to “ ERIN GRACE LUCIANO OTR” Practice Location

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