Jessica Lichman, PTA

NPI #1992238927 in Osceola, Wisconsin

Provider Information

NPI Number: 1992238927
Entity Type: Individual
Name: Jessica Lichman, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 6, 2017
Last Updated: Apr 6, 2017

Practice Location

Address: 2650 65TH AVE
City: Osceola
State: Wisconsin
ZIP Code: 54020
Phone: (715) 294-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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