Individual
CHARLEEN LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
62 OLD MIDDLETOWN RD, NEW CITY, NY 10956-2710
(845) 639-6492
(845) 639-6394
Mailing address
62 OLD MIDDLETOWN RD, NEW CITY, NY 10956-2710
(845) 639-6492
(845) 639-6394
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006653-1
NY
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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