Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACOB MATTHEW LUCAS, LPTA
ActiveMR. JACOB MATTHEW LUCAS, LPTA is a Occupational Therapist healthcare provider located in BLACKVILLE, South Carolina. NPI 1265938088 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BLACKVILLE, SC
Registration Details
- NPI Number
- 1265938088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2018 (8.327959959818 yrs)
- Last Updated
- Apr 2, 2018
- License
-
2452 (SC)
Practice Information
- Address
-
2091 ASHLEIGH RDBLACKVILLE, SC, 298174551Browse SC providers · Browse ZIP 29817
- Phone
- 8035710266
- Primary Specialty
-
Occupational Therapist
225200000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.