Individual
LUCAS MATTHEW RAKOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 CUMBERLAND PKWY SE, ATLANTA, GA 30339-1808
(706) 394-9405
Mailing address
910 STANTON DR, NORTH AUGUSTA, SC 29841-3215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005688
GA
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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