Individual
STACY SCHLICHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E D ST, WYMORE, NE 68466-2151
(402) 645-3355
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2316
NE
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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