Mrs. Mary Grace Lucas
Occupational Therapist Occupational Therapist - Gerontology
350 Parrish St
Canandaigua
, New York 14424-1731
Mrs. Mary Grace Lucas
Occupational Therapist Occupational Therapist - Gerontology
350 Parrish St
Canandaigua
, New York 14424-1731
(214) 724-1190
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Mary Grace Lucas
- 100 Clear Spring Trl Apt 102
- Fairport, NY
- Zip : 14450-1071
- Phone : (214) 724-1190
Second Address
- Mrs. Mary Grace Lucas
- 350 Parrish St
- Canandaigua, NY
- Zip : 14424-1731
- Fax : (585) 396-6966
- Phone : (585) 396-6067
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 111293 | TX |
| Y | 225XG0600X | Occupational Therapist - Gerontology | 010046-01 | NY |
National Provider Identifier
| NPI | 1629244975 |
|---|---|
| Provider Name | Mrs. Mary Grace Lucas |
| First Address | Fairport, NY 14450-1071 |
| Second Address | Canandaigua, NY 14424-1731 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2008 |
| Last Update Date | 23/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.