Individual
LUCAS ALAN CUMMINS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
122 CANAL CT, NEW RICHMOND, OH 45157-8545
(513) 502-8766
Mailing address
122 CANAL CT, NEW RICHMOND, OH 45157-8545
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012972
OH
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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