Individual
MS. LUCILLE MARIE O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10124 W BROAD ST STE K, GLEN ALLEN, VA 23060-3330
(804) 273-6656
(804) 273-6612
Mailing address
14177 STUART OAKS DR, GLEN ALLEN, VA 23059-1666
(804) 798-6119
(804) 273-6656
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2305002498
VA
Other
Enumeration date
10/18/2006
Last updated
07/09/2007
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