Individual
RIVES L LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 E GREENVILLE ST, SUITE A, ANDERSON, SC 29621-2048
(864) 261-3313
(864) 261-3371
Mailing address
1823 E GREENVILLE ST, SUITE A, ANDERSON, SC 29621-2048
(864) 261-3313
(864) 261-3371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5332
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1753
—
SC
Enumeration date
08/01/2006
Last updated
05/29/2008
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