Individual
CARRIN E. LICHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
(608) 755-7892
Mailing address
1000 MINERAL POINT AVE, JANESVILLE, WI 53548-2940
(608) 756-6000
(608) 755-7892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6104-26
WI
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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