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NPI Code Detail

MEDICARE: CASSANDRA MCLUCAS

MEDICARE:   CASSANDRA  MCLUCAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC011200PA

General Provider Information

NPI Number : 1699062265
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA MCLUCAS
Provider Business Mailing Address
First Line : 6150 LONGVIEW DR
Second Line :
City : SPRING GROVE
State : PA
Zip : 17362-8885
Country : US
Telephone Number : 717-965-7512
Fax Number :
Provider Business Practice Location Address
First Line : 6150 LONGVIEW DR
Second Line :
City : SPRING GROVE
State : PA
Zip : 17362-8885
Country : US
Telephone Number : 717-965-7512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2011
Last Update Date : 01/12/2018

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Directions to “ CASSANDRA MCLUCAS ” Practice Location

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