Individual
ELLEN STEVENSON LUCEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7650 PETTIBONE RD, CHAGRIN FALLS, OH 44023-4945
(440) 543-1730
Mailing address
7650 PETTIBONE RD, CHAGRIN FALLS, OH 44023-4945
(440) 543-1730
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004337
OH
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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