Individual
KATHRYN CAROLINE HICKEY LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4215 E BELL RD BLDG A, PHOENIX, AZ 85032-2212
(602) 933-7529
(602) 933-4296
Mailing address
2108 E THOMAS RD, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05011763A
IN
225100000X
Physical Therapist
12754
OH
225100000X
Physical Therapist
Primary
LPT-33291
AZ
Other
Enumeration date
03/03/2010
Last updated
09/27/2024
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