Lucas Daniel Raymond, MSPT
Physical Therapist in Wyalusing, PA. Individual provider (NPI-1).
NPI number1659622207
StatusActive
Last updated in NPPESSep 23, 2012
Details
- NPI
- 1659622207
- Entity type
- Individual (NPI-1)
- Name
- Lucas Daniel Raymond
- Credential
- MSPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2012
- Last updated
- Sep 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT022292 | PA | Yes |
Practice location
42 Complex DrWyalusing, PA 18853-7803
Phone 570-746-0504
Mailing address
42 Complex DrWyalusing, PA 18853-7803
Phone 570-746-0504
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Other Physical Therapist providers in Wyalusing, PA
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All 8 Physical Therapist providers in Wyalusing · All 38 providers in Wyalusing
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