Individual
JESSICA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
707 N MAIN ST STE 1, GLASSBORO, NJ 08028-1670
(856) 307-9700
Mailing address
707 N MAIN ST, GLASSBORO, NJ 08028-1605
(856) 307-9700
(856) 307-0289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01773100
NJ
Other
Enumeration date
11/17/2016
Last updated
08/12/2021
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