Individual
FREDERICK CHARLES LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
10051 FOXES WAY, KING GEORGE, VA 22485-3458
(540) 775-4000
Mailing address
10051 FOXES WAY, KING GEORGE, VA 22485-3458
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006519
VA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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