Thomas C Licklider II, CO
NPI #1568782860 in Nebo, North Carolina
Provider Information
- NPI Number
- 1568782860
- Entity Type
- Individual
- Name
- Thomas C Licklider II, CO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Orthotist
- Credential
- CO
- Enumeration Date
- Jun 9, 2010
- Last Updated
- Nov 4, 2011
Practice Location
- Address
- 132 FOREST RIDGE DR
- City
- Nebo
- State
- North Carolina
- ZIP Code
- 28761-8708
- Phone
- (314) 757-5395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
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