Individual
ACACIA M LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
22 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 893-5971
(570) 748-8991
Mailing address
22 CREE DR, LOCK HAVEN, PA 17745-2639
(570) 893-5971
(570) 748-8991
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
OP008087
PA
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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