Individual
CHRISTINE ANN LICHOSYT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
525 TYLER RD STE Q1, ST CHARLES, IL 60174-3360
(630) 444-0077
Mailing address
525 TYLER RD STE Q1, ST CHARLES, IL 60174-3360
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.013290
IL
Other
Enumeration date
09/30/2019
Last updated
01/08/2021
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