Provider Demographics
NPI:1790800282
Name:LUCHANSKY, ANNE-MARIE (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:ANNE-MARIE
Middle Name:
Last Name:LUCHANSKY
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7037 KILLDEER DR
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9181
Mailing Address - Country:US
Mailing Address - Phone:330-533-1378
Mailing Address - Fax:
Practice Address - Street 1:45 MCCLURG RD
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6737
Practice Address - Country:US
Practice Address - Phone:330-729-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH666225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant