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Individual

CARL LUCAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1975 GLENN MITCHELL DR STE 200, VA BEACH, VA 23456-0167
(757) 321-3300
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009369
VA

Other

Enumeration date
12/20/2021
Last updated
11/08/2022
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