Individual
EDWARD LUCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
254 GLENWORTH CT, POWELL, OH 43065-9118
(614) 599-5535
Mailing address
254 GLENWORTH CT, POWELL, OH 43065-9118
(614) 599-5535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009865
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT009865
OHIO OT/PT/AT BOARD
OH
Enumeration date
04/18/2020
Last updated
04/18/2020
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