MR. Mitchell Scott Lucas, PTA

NPI #1821112459 in Osage Beach, Missouri

Provider Information

NPI Number: 1821112459
Entity Type: Individual
Name: MR. Mitchell Scott Lucas, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 19, 2007
Last Updated: Jan 23, 2013

Practice Location

Address: 54 HOSPITAL DR
City: Osage Beach
State: Missouri
ZIP Code: 65065-3050
Phone: (573) 964-6010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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