SAMANTHA JEAN LUCAS

RACINE, WI
NPI1033512512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  2145)
Enumeration Date2014-09-29
Last Update Date2014-09-29
Business Address
-- SAMANTHA JEAN LUCAS
6101 16TH ST
RACINE, WI 53406-4467
Phone number: 262-898-2770
Mailing Address
-- SAMANTHA JEAN LUCAS
6101 16TH ST
RACINE, WI 53406-4467
Phone number: 262-898-2770
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