Individual
JOHN PAUL LUKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9108 STATE HWY 198, CONNEAUTVILLE, PA 16406-2646
(814) 371-1933
Mailing address
15 OLIVE AVE, DU BOIS, PA 15801-1921
(814) 371-1933
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0POO7269
PA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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