LUCAS BENJAMIN DAVIS

FAIRMONT, WV
NPI1215163654
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WV  1143)
Enumeration Date2009-05-29
Last Update Date2009-05-29
Business Address
Mr. LUCAS BENJAMIN DAVIS OTR/L
51 SOUTHLAND DR SUITE 2300
FAIRMONT, WV 26554-2244
Phone number: 304-363-3167
Mailing Address
Mr. LUCAS BENJAMIN DAVIS OTR/L
212 BRADDOCK ST
FAIRMONT, WV 26554-2208
Phone number: 304-288-2265
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