Kelly Fromm Lucas, PTA

NPI #1740304385 in Osage Beach, Missouri

Provider Information

NPI Number: 1740304385
Entity Type: Individual
Name: Kelly Fromm Lucas, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 19, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 54 HOSPITAL DR
City: Osage Beach
State: Missouri
ZIP Code: 65065-3050
Phone: (573) 374-8885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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