National Provider Identifier

Gloria R Lucker, OTR/L

Gloria R Lucker, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 836-5929.

NPI 1396833349Buffalo, NYOccupational Therapist

Profile Overview

NPI
1396833349
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
October 11, 2006
Last Updated
March 31, 2008

Practice Location

  • 2495 Main St
  • Suite 234
  • Buffalo, NY 14214-2152

Phone: (716) 836-5929

Specialties

  • Occupational Therapist (225X00000X)
  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1396833349
Entity Type
Individual
Last Name
Lucker
First Name
Gloria
Middle Name
R
Name Prefix
MS.
Credential
OTR/L
Mailing Street Address
2495 Main St
Mailing Address Line 2
Suite 234
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2152
Mailing Country
US
Mailing Phone
(716) 836-5929
Mailing Fax
(716) 836-6057
Practice Street Address
2495 Main St
Practice Address Line 2
Suite 234
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2152
Practice Country
US
Practice Phone
(716) 836-5929
Practice Fax
(716) 836-6057
Enumeration Date
October 11, 2006
Last Updated
March 31, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Pediatric Occupational Therapist (225XP0200X)
Other Identifiers
01807827 (NY), 000670000002 (NY, Community Blue)