MR. Charles F Luckhardt II, M.ED.,C.P.O.,L.P.O.

NPI #1710098835 in Chiefland, Florida

Provider Information

NPI Number
1710098835
Entity Type
Individual
Name
MR. Charles F Luckhardt II, M.ED.,C.P.O.,L.P.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Orthotist
Credential
M.ED.,C.P.O.,L.P.O.
Enumeration Date
Aug 31, 2006
Last Updated
Nov 16, 2010

Practice Location

Address
1411 NW 23RD AVE
State
Florida
ZIP Code
32626-1976
Phone
(352) 493-0360

Specialties & Taxonomy Codes

Specialty
Orthotist
Prosthetist

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