MISS Mary Vianelle Lichauco, PT

NPI #1225805070 in Skokie, Illinois

Provider Information

NPI Number: 1225805070
Entity Type: Individual
Name: MISS Mary Vianelle Lichauco, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 11, 2023
Last Updated: Dec 11, 2023

Practice Location

Address: 9933 LAWLER AVE STE 105
City: Skokie
State: Illinois
ZIP Code: 60077-3753
Phone: (224) 278-1088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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