LUCAS WALLACE

SKOWHEGAN, ME
NPI1548921372
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ME  OT4044)
Enumeration Date2022-01-04
Last Update Date2023-07-03
Business Address
LUCAS WALLACE OT
57 FAIRVIEW AVE
SKOWHEGAN, ME 04976-1414
Phone number: 207-474-7000
Mailing Address
LUCAS WALLACE OT
PO BOX 468
SKOWHEGAN, ME 04976-0468
Phone number: 207-474-7000
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