Individual
CHRISTOPHER LICEA
Active
Individual
CHRISTOPHER LICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P22816
NC
225100000X
Physical Therapist
PT39209
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P22816
PT LICENSE
NC
Enumeration date
08/15/2022
Last updated
05/14/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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