STACY RYAN LUCAS

SOUTH CHARLESTON, WV
NPI1386824944
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  000627)
Enumeration Date2007-11-11
Last Update Date2007-11-11
Business Address
Mr. STACY RYAN LUCAS LPTA, LMT
1000 LINCOLN DR
SOUTH CHARLESTON, WV 25309-2304
Phone number: 304-768-4400
Mailing Address
Mr. STACY RYAN LUCAS LPTA, LMT
1000 LINCOLN DR
SOUTH CHARLESTON, WV 25309-2304
Phone number: 304-768-4400
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