MR. Jacob Matthew Lucas, LPTA
NPI #1265938088 in Blackville, South Carolina
Provider Information
- NPI Number
- 1265938088
- Entity Type
- Individual
- Name
- MR. Jacob Matthew Lucas, LPTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- LPTA
- Enumeration Date
- Apr 2, 2018
- Last Updated
- Apr 2, 2018
Practice Location
- Address
- 2091 ASHLEIGH RD
- City
- Blackville
- State
- South Carolina
- ZIP Code
- 29817-4551
- Phone
- (803) 571-0266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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Organizations
| Provider Name | |
|---|---|
| Children's Therapy Specialists, Inc. | AI Deep Dive |
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