Individual
JENNIFER LYNN LUCASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31 S LOGAN ST, MCADOO, PA 18237-1113
(570) 929-2905
Mailing address
31 S LOGAN ST, MCADOO, PA 18237-1113
(570) 929-2905
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003228L
PA
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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