Doctor Name: | LUCAS EGAN |
NPI Number: | 1447636667 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT30439 |
Business Practice Address: | 6314 Whiskey Creek Dr Fort Myers, FL - 339198762 |
Business Phone Number: | 2394320556 |
Business Fax Number: | 2394329727 |
Mailing Address: | 1704 Se 8th Pl, CAPE CORAL |
State: | FL |
Postal Code: | 339902311 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT30439 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |