Individual
MRS. BARBARA LYNN LICTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
613 CRICKLEWOOD RD, WEST CHESTER, PA 19382-8507
(484) 266-0387
(484) 266-0409
Mailing address
613 CRICKLEWOOD RD, WEST CHESTER, PA 19382-8507
(484) 266-0387
(484) 266-0409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009730L
PA
Other
Enumeration date
09/02/2009
Last updated
06/18/2014
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