Individual
JESSICA LICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2650 65TH AVE, OSCEOLA, WI 54020
(715) 294-1100
Mailing address
519 NORTH DALLAS ST, RIVER FALLS, WI 54022
(262) 873-0590
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1944-19
WI
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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