Provider Demographics
NPI:1164625414
Name:LUCARELLI, RALPH FRANCIS (PT)
Entity Type:Individual
Prefix:MR
First Name:RALPH
Middle Name:FRANCIS
Last Name:LUCARELLI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CALIBOGUE CAY RD
Mailing Address - Street 2:# 2616
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29928-2929
Mailing Address - Country:US
Mailing Address - Phone:843-298-2616
Mailing Address - Fax:843-671-4610
Practice Address - Street 1:20 CALIBOGUE CAY RD
Practice Address - Street 2:# 2616
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29928-2929
Practice Address - Country:US
Practice Address - Phone:843-298-2616
Practice Address - Fax:843-671-4610
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1660225100000X
GAPT004350225100000X
FLPT6909225100000X
NY0021101225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist