Individual
LUCAS QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
1205262375
Contact information
Practice address
327 S WILLOW ST, OTTAWA, KS 66067-2149
(785) 214-9090
Mailing address
327 S WILLOW ST, OTTAWA, KS 66067-2149
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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