| Lucas Wallace, OT | |
|
57 Fairview Ave, Skowhegan, ME 04976-1414 | |
| (207) 474-7000 | |
| (207) 858-4772 |
| Full Name | Lucas Wallace |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 57 Fairview Ave, Skowhegan, Maine |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548921372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT4044 (Maine) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lucas Wallace, OT Po Box 468, Skowhegan, ME 04976-0468 Ph: (207) 474-7000 | Lucas Wallace, OT 57 Fairview Ave, Skowhegan, ME 04976-1414 Ph: (207) 474-7000 |
Carrie Janice Rand, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 23 Cedar Ridge Dr, Skowhegan, ME 04976 Phone: 207-474-9686 | |
Sydney Riser, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 57 Fairview Ave, Skowhegan, ME 04976 Phone: 207-858-4844 | |
Mrs. Meghan Jennifer Fortier, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 57 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-7000 Fax: 207-858-4772 | |
Jenna L Dinsmore, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 57 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-7000 Fax: 207-858-4772 | |
Michaela Goomishian, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 High St, Skowhegan, ME 04976 Phone: 616-481-9241 | |
Mrs. Crystal Lynn Reed, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 226 Oak Pond Rd, Skowhegan, ME 04976 Phone: 207-612-2701 | |
Mr. Randy W Mcmullen Jr., M.S Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 23 Cedar Ridge Dr, Skowhegan, ME 04976 Phone: 207-474-9686 |