Individual
LUCAS CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5353 N 16TH ST STE 120, PHOENIX, AZ 85016-3282
(602) 826-0037
Mailing address
1045 W 2ND ST, TEMPE, AZ 85281-2942
(307) 751-1685
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13154
AZ
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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