Individual
KARLA J CLEMONS-LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
300 TWINRIDGE LN, NORTH CHESTERFIELD, VA 23235-5282
(915) 491-8622
Mailing address
5753 QUIET PINE CIR APT 304, CHESTER, VA 23831-7722
(915) 491-8622
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007381
VA
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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