Individual
LUCAS DANIEL BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3420 WAKE FOREST RD, DURHAM, NC 27703-3522
(919) 596-9464
Mailing address
484 SHEARIN ST, DARLINGTON, SC 29532-2224
(843) 861-0574
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7461
NC
225200000X
Physical Therapy Assistant
PTA.4569
SC
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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