Individual
ERIC FORTUNE LUKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
3000 BALFOUR CIR, PHOENIXVILLE, PA 19460-2144
(610) 726-1286
Mailing address
4032 PILGRIM RD, PLYMOUTH MEETING, PA 19462-1535
(215) 301-1069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015095
PA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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