Nicole Rose Peterson Lucking
ActiveCalifornia license 2873
License
- Licensed by
- California Board of Occupational Therapy
- License number
- 2873
- Status
- Active (Current)
- First issued
- November 5, 2002
- Expires
- December 31, 2026
- License holder
- Nicole Rose Peterson Lucking
- Entity type
- Individual
Classifications
- Occupational Therapist Therapy & Rehabilitation
More from the license record
- License type code
- 7101
Contact
1116 Rose Ave
Venice, CA 90291
Venice, CA 90291
Los Angeles County