Active NPIIndividual provider

Lucas Wallace, OT

Occupational Therapist in Skowhegan, Maine

NPI Number1548921372
Practice location
57 Fairview Ave, Skowhegan, ME 04976-1414
Fax
207-858-4772
Last updated
July 3, 2023

Lucas Wallace is an Occupational Therapist based in Skowhegan, ME. Lucas Wallace practices in Skowhegan, ME and has the professional credentials of OT. The NPI Number for Lucas Wallace is 1548921372 and holds a License No. OT4044 (ME). The current practice location address for Lucas Wallace is 57 Fairview Ave, Skowhegan, ME 04976-1414 and can be reached out via phone at 207-474-7000 and via fax at 207-858-4772.

Provider Profile Details

NPI Number
1548921372
Provider Name
Lucas Wallace
Credential
OT
Provider Entity Type
Individual
Gender
Male
Address
57 Fairview Ave, Skowhegan, ME 04976-1414
Phone Number
207-474-7000
Fax Number
207-858-4772
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
January 4, 2022
Last Update Date
July 3, 2023
Certification Date
July 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
57 Fairview Ave
Skowhegan, ME 04976-1414
State
Maine
Zip
04976-1414
Phone Number
207-474-7000
Fax Number
207-858-4772
Skowhegan, ME 04976Get directions →

Provider Business Mailing Address Details

Address
Po Box 468
Skowhegan, ME 04976-0468
City
Skowhegan
State
ME
Zip
04976-0468
Phone Number
207-474-7000
Fax Number
207-858-4772

License Information

License Number
OT4044
License State
ME
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Occupational Therapists near Skowhegan, ME

View all Occupational Therapists in Skowhegan →

Frequently Asked Questions

What is the NPI number of Lucas Wallace, OT?

The NPI number of Lucas Wallace, OT is 1548921372. It was assigned on January 4, 2022 and is currently active in the NPPES registry.

What is the specialty of Lucas Wallace, OT?

Lucas Wallace, OT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in ME under license number OT4044.

Where does Lucas Wallace, OT practice?

The practice location is 57 Fairview Ave, Skowhegan, ME 04976-1414. The office can be reached at 207-474-7000 (phone) or 207-858-4772 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548921372 directly on the NPPES registry website.

Browse related providers