Individual
LUCAS GREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
265 ELM DR, WAYNESBURG, PA 15370-8275
(724) 852-2504
(724) 852-2547
Mailing address
4325 RTE 51 N, ROSTRAVER TWP, PA 15012
(724) 565-5806
(724) 483-0290
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019238
PA
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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