Individual
CHARLES JOSEPH FICKENTSHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
145 TOWER CIR, SOMERSET, KY 42503-3488
(606) 679-4578
Mailing address
109 SPEEDWAY DR, SOMERSET, KY 42503-1559
(502) 813-0027
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
147777
KY
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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