Individual
BRIANNE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 LACEY RD STE 8-12, WHITING, NJ 08759-2912
(732) 849-0700
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02038600
NJ
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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