Individual
DANIELL NICOLE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 LAKE FOREST CT, GARLAND, TX 75044-4221
(214) 587-8655
Mailing address
8911 DARTWAY DR, DALLAS, TX 75227-7216
(214) 587-8655
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
222Q00000X
Developmental Therapist
—
—
225700000X
Massage Therapist
Primary
MT039868
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
04/17/2019
Last updated
01/05/2023
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