Individual
ALLYSON R LICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1605 SCHERM RD, OWENSBORO, KY 42301-5300
(270) 685-9499
(270) 685-9443
Mailing address
3026 HIDDEN LAKE PT, OWENSBORO, KY 42303-4455
(270) 316-1499
(270) 691-8929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R4520
KY
Other
Enumeration date
01/20/2011
Last updated
02/25/2011
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