Individual
OLIVIA LICKWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3907A W MARKET ST, GREENSBORO, NC 27407-1303
(336) 279-9008
(336) 740-9099
Mailing address
319 PISGAH CHURCH RD APT 1C, GREENSBORO, NC 27455-2847
(423) 914-1284
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13401
NC
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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