Delaina Lucus in Ridgeland - Physical Therapy Assistant

Delaina Lucus - NPI 1194949107

Delaina Lucus is a Physical Therapy Assistant in Ridgeland, Mississippi. Delaina Lucus practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Delaina Lucus is 1194949107. The last update date is 2007-07-08.

Delaina Lucus's current location address is 711 Avignon Dr, Ridgeland, Mississippi. You can contact this provider via phone number 6016056777 and fax number 6016058869. The mailing address for Delaina Lucus is 711 Avignon Dr, Ridgeland, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Delaina Lucus
Address 711 Avignon Dr, Ridgeland, Mississippi
Phone Number 6016056777
Fax Number 6016058869
Sole Proprietor Y
Credentials LPTA

NPI Number Detail

NPI Number 1194949107
Provider Enumeration Date 2007-04-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 711 Avignon Dr
City Ridgeland
State Mississippi (MS)
Post Code 391575120
Phone Number 6016056777
Fax Number 6016058869

Provider's Primary Taxonomy Detail

Speciality Physical Therapy Assistant
Taxonomy 225200000X
Licence No PTA2694
Definition:
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post

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FAQs about Delaina Lucus

What is the Delaina Lucus's 1194949107?

The Delaina Lucus's NPI (National Provider Identifier) Number is 1194949107. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Delaina Lucus's physical address?

The Delaina Lucus is physically located at 711 Avignon Dr, in the city of Ridgeland, MS, with the postal code 391575120.

What is Delaina Lucus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Delaina Lucus's specialized field of practice is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 225200000X.

When did Delaina Lucus receive its 1194949107 assignment?

The Delaina Lucus was assigned its 1194949107 on 2007-04-12, which is the date when this unique identifier was issued to the organization.

When was the information regarding Delaina Lucus most recently updated?

The details pertaining to the Delaina Lucus, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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