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Individual

MRS. LAKISHA DESHAWNDA CHAFFIN-HICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2200 BERGQUIST DR STE 1, DEPARTMENT OF OCCUPATIONAL THERAPY, WHMC, LACKLAND A F B, TX 78236-9908
(210) 292-5253
(210) 292-7991
Mailing address
2200 BERGQUIST DR STE 1, DEPARTMENT OF OCCUPATIONAL THERAPY, WHMC, LACKLAND A F B, TX 78236-9908
(210) 292-5253
(210) 292-7991

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
111666
TX

Other

Enumeration date
11/03/2006
Last updated
07/08/2007
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