MITCHELL SCOTT LUCAS

OSAGE BEACH, MO
NPI1821112459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MO  2000169523)
Enumeration Date2007-03-19
Last Update Date2013-01-23
Business Address
Mr. MITCHELL SCOTT LUCAS PTA
54 HOSPITAL DR
OSAGE BEACH, MO 65065-3050
Phone number: 573-964-6010
Mailing Address
Mr. MITCHELL SCOTT LUCAS PTA
23 SHERWOOD DR
CAMDENTON, MO 65020-2329
Phone number: 573-434-7771