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Individual
JARED JAMES LICHMAN
Active
Individual
JARED JAMES LICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
2255A2300X
Athletic Trainer
092891
IA
Other
Enumeration date
08/07/2017
Last updated
01/21/2021
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