National Provider Identifier
Rachel Marie Luczak
Rachel Marie Luczak is listed in the NPPES registry with a primary specialty of Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1164196184
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- August 03, 2021
- Last Updated
- October 31, 2021
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 67 Southpoint Dr
- Lancaster, NY 14086-3333
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1164196184
- Entity Type
- Individual
- Last Name
- Luczak
- First Name
- Rachel
- Middle Name
- Marie
- Mailing Street Address
- 67 Southpoint Dr
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-3333
- Mailing Country
- US
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- August 03, 2021
- Last Updated
- October 31, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- October 31, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)