Individual
JOHNNIE RENEE LICHTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
224 E 2ND ST, DUMAS, TX 79029-3808
(806) 935-7171
Mailing address
6520 OAKRIDGE LN, AMARILLO, TX 79124-1205
(806) 570-0463
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208292
TX
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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