Jack James Lucas
Jack James Lucas is an Occupational Therapist in San Rafael, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
4000 Civic Center DrSan Rafael, CA 94903-4171
Phone: (628) 877-0040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 17636 (CA) |
|---|
Record details
| NPI number | 1831773209 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 11, 2021 |
| Last updated in NPPES | May 11, 2021 |
| Certification date | May 11, 2021 |
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