Individual
MATTHEW KARL LICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384
(360) 748-8360
Mailing address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384
(360) 748-8360
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
61352892
WA
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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