Lori M Licker, OTR
NPI #1124336680 in Central Islip, New York
Provider Information
- NPI Number
- 1124336680
- Entity Type
- Individual
- Name
- Lori M Licker, OTR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Local Education Agency (LEA)
- Credential
- OTR
- Enumeration Date
- Sep 18, 2010
- Last Updated
- Sep 18, 2010
Practice Location
- Address
- 150 MAYA CIR
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-4542
- Phone
- (631) 730-6401
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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