Provider Demographics
NPI:1922074665
Name:LUCHINI, KAREN JOAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JOAN
Last Name:LUCHINI
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:112 MAIN ST
Mailing Address - Street 2:NORTHBOROUGH MEDICAL BUILDING PHYSICAL THERAPY
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532
Mailing Address - Country:US
Mailing Address - Phone:508-393-7298
Mailing Address - Fax:508-393-1338
Practice Address - Street 1:112 MAIN ST
Practice Address - Street 2:NORTHBOROUGH PHYSICAL THERAPY REHOBILITAION SERVICES IN
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532
Practice Address - Country:US
Practice Address - Phone:508-393-7298
Practice Address - Fax:508-393-1338
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA10925225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
468957OtherTUFTS
Y68031OtherBCBS
MA0397351Medicaid
MAY68874Medicare ID - Type Unspecified