Individual
GINA LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 E BOGARD RD, WASILLA, AK 99654-7108
(907) 357-2578
(907) 357-2529
Mailing address
401 E BOGARD RD, WASILLA, AK 99654-7108
(907) 357-2578
(907) 357-2529
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
344
AK
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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