Stephanie Ann Lucas, PTA

NPI #1831499664 in Kankakee, Illinois

Provider Information

NPI Number: 1831499664
Entity Type: Individual
Name: Stephanie Ann Lucas, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 27, 2010
Last Updated: Oct 27, 2010

Practice Location

Address: 1601 BUTTERFIELD TRL
City: Kankakee
State: Illinois
ZIP Code: 60901-2959
Phone: (815) 936-6500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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