Organization
LUCAS PHYSICAL THERAPY INC
Active
Organization
LUCAS PHYSICAL THERAPY INC
Active
Other names
Lucas Therapies PC
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (VICE PRESIDENT)
(800) 699-9395
Entity
Organization
Contact information
Practice address
4325 BRAMBLETON AVE STE A, ROANOKE, VA 24018-3404
(540) 772-8022
(540) 772-0294
Mailing address
PO BOX 932184, ATLANTA, GA 31193-4912
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193431
ANTHEM PT GROUP #
VA
01
—
193434
ANTHEM PT # LOC 2
VA
01
—
193437
ANTHEM PT # LOC 3
VA
01
—
193442
ANTHEM PT # LOC 5
VA
01
—
249624
ANTHEM PT # LOC 6
VA
Enumeration date
02/07/2007
Last updated
12/04/2023
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