Individual
CRYSTAL DAWN LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 MACCORKLE AVE, SAINT ALBANS, WV 25177-2326
(304) 768-0002
Mailing address
6500 MACCORKLE AVE, SAINT ALBANS, WV 25177-2326
(304) 768-0002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003371
WV
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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