National Provider Identifier
Mary Grace Lucas, OTR
Mary Grace Lucas, OTR is listed in the NPPES registry with a primary specialty of Gerontology Occupational Therapist in Canandaigua, NY and a listed phone number of (585) 396-6067.
Profile Overview
- NPI
- 1629244975
- Provider Type
- Individual
- Primary Specialty
- Gerontology Occupational Therapist
- Enumeration Date
- May 07, 2008
- Last Updated
- January 23, 2020
Practice Location
- 350 Parrish St
- Canandaigua, NY 14424-1731
Phone: (585) 396-6067
Mailing Address
- 100 Clear Spring Trl Apt 102
- Fairport, NY 14450-1071
Specialties
- Gerontology Occupational Therapist (225XG0600X)
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1629244975
- Entity Type
- Individual
- Last Name
- Lucas
- First Name
- Mary
- Middle Name
- Grace
- Name Prefix
- Mrs.
- Credential
- OTR
- Mailing Street Address
- 100 Clear Spring Trl Apt 102
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1071
- Mailing Country
- US
- Mailing Phone
- (214) 724-1190
- Practice Street Address
- 350 Parrish St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1731
- Practice Country
- US
- Practice Phone
- (585) 396-6067
- Practice Fax
- (585) 396-6966
- Enumeration Date
- May 07, 2008
- Last Updated
- January 23, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- January 23, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Gerontology Occupational Therapist (225XG0600X), Occupational Therapist (225X00000X)