Individual
DR. TERESA LICCARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
10989 JORDYN HILL ST, LAS VEGAS, NV 89141-6153
(650) 269-0462
Mailing address
10989 JORDYN HILL ST, LAS VEGAS, NV 89141-6153
(650) 269-0462
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16-0673
NV
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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