Individual
WHITNEY MARIE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2501 W. 26TH ST., SIOUX FALLS, SD 57105
(605) 782-8525
Mailing address
2501 W. 26TH ST., SIOUX FALLS, SD 57105
(605) 782-8525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0769
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0769
SD LICENSE
SD
Enumeration date
03/31/2010
Last updated
03/31/2010
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