Individual
NICHOLAS ORAZIO LUCENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5187 US-60 SUITE 13, HUNTINGTON, WV 25705
(304) 733-5010
Mailing address
302 EARHART ST, BECKLEY, WV 25801-6751
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
C2057
WV
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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