Individual
CYNTHIA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
429 MANOR DR, EBENSBURG, PA 15931
(814) 472-8100
Mailing address
429 MANOR DR, EBENSBURG, PA 15931
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001581L
PA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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