MR. Cedric Michael Luckey, OTR/L

NPI #1972930071 in Irmo, South Carolina

Provider Information

NPI Number: 1972930071
Entity Type: Individual
Name: MR. Cedric Michael Luckey, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OTR/L
Enumeration Date: Oct 3, 2013
Last Updated: Oct 3, 2013

Practice Location

Address: 355 RIDGE RUN TRL
City: Irmo
State: South Carolina
ZIP Code: 29063-8667
Phone: (803) 271-2364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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