Individual
OLIVIA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
419 WATERFORD ST, EDINBORO, PA 16412-5517
(814) 734-5021
Mailing address
1205 HILBORN AVE, ERIE, PA 16505-4224
(814) 602-8031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007936
PA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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