Individual
MRS. BILLIE JO LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
804 S LONG DR, ROCKINGHAM, NC 28379-4318
(910) 997-4493
Mailing address
2566 GIBSON MILL RD, ELLERBE, NC 28338-8593
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10424
NC
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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