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Lucas Matthew Rakofsky

Occupational Therapist in Atlanta, GA. Individual provider (NPI-1).

NPI number1154071900
StatusActive
Last updated in NPPESMar 25, 2022

Details

NPI
1154071900
Entity type
Individual (NPI-1)
Name
Lucas Matthew Rakofsky
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 25, 2022
Certification date
Mar 25, 2022
Last updated
Mar 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT005688GAYes

Practice location

2401 Cumberland Pkwy Se
Atlanta, GA 30339-1808

Phone 706-394-9405

Mailing address

910 Stanton Dr
North Augusta, SC 29841-3215

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