Individual
ASHLEY JADE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10613 NW 38TH ST, YUKON, OK 73099-6003
(405) 203-6410
Mailing address
10613 NW 38TH ST, YUKON, OK 73099-6003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2563
OK
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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