Deborah Licata, PT

NPI #1578202123 in Morro Bay, California

Provider Information

NPI Number: 1578202123
Entity Type: Individual
Name: Deborah Licata, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 1, 2022
Last Updated: Jan 15, 2024

Practice Location

Address: 890 SHASTA AVE
City: Morro Bay
State: California
ZIP Code: 93442-1933
Phone: (805) 772-4325

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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