MRS. Jennifer Lynn Lucas, C.O.T.A/L

NPI #1154556066 in Knoxville, Tennessee

Provider Information

NPI Number: 1154556066
Entity Type: Individual
Name: MRS. Jennifer Lynn Lucas, C.O.T.A/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Credential: C.O.T.A/L
Enumeration Date: May 20, 2009
Last Updated: May 20, 2009

Practice Location

Address: 2120 HIGHLAND AVE
City: Knoxville
State: Tennessee
ZIP Code: 37916-1112
Phone: (865) 525-4131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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