Individual
MRS. MARY GRACE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
350 PARRISH ST, CANANDAIGUA, NY 14424-1731
(585) 396-6067
(585) 396-6966
Mailing address
100 CLEAR SPRING TRL APT 102, FAIRPORT, NY 14450-1071
(214) 724-1190
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111293
TX
225XG0600X
Gerontology Occupational Therapist
Primary
010046-01
NY
Other
Enumeration date
05/07/2008
Last updated
01/23/2020
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