KELLY FROMM LUCAS

OSAGE BEACH, MO
NPI1740304385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  117102)
Enumeration Date2007-03-19
Last Update Date2007-07-08
Business Address
-- KELLY FROMM LUCAS PTA
54 HOSPITAL DR
OSAGE BEACH, MO 65065-3050
Phone number: 573-374-8885
Mailing Address
-- KELLY FROMM LUCAS PTA
23 SHERWOOD DR
CAMDENTON, MO 65020-2329
Phone number: 573-873-9503