Mary Grace Lucas OTR

NPI 1629244975 - Occupational Therapist - 225X00000X

NPI Details
NPI 1629244975
Gender Female
Enumeration Date 05/07/2008
Last Updated 05/07/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
9441 LBJ FWY
SUITE 101
DALLAS TX, 75243-4545, US
Phone (866) 575-9820
Fax
Business Location
3100 SOMERVILLE LN
CARROLLTON TX, 75007-3434, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State Texas
License Number 111293
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According to our database, Mrs. Mary Grace Lucas OTR NPI is 1629244975, taxonomy code is 225X00000X and license number is 111293, license state is located at Texas. Mary Grace Lucas OTR physically located at 9441 Lbj Fwy, Dallas TX, 75243-4545. NPI Number Mary Grace Lucas OTR has the Individual type.

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1629244975 NPI number is provided on an as is basis without warranty of any kind. 1629244975 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Grace Lucas OTR are for informational purposes only.