Individual
BREANNA C LUCYKANISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 SCOTLAND AVE, CHAMBERSBURG, PA 17201-1451
(717) 262-2000
Mailing address
2202 CRIDERS CHURCH RD, CHAMBERSBURG, PA 17202-8055
(717) 635-1134
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008525
PA
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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