Individual
BETHANY LICHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1102 WINKLER AVE, KILLEEN, TX 76542-6249
(254) 634-8505
(254) 519-3477
Mailing address
3808 WESTFIELD DR, COLLEGE STATION, TX 77845-7285
(254) 634-8505
(254) 519-3477
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3107280
TX
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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