LARRY EDWIN LICHEY

SAN ANTONIO, TX
NPI1053904961
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  215748)
Enumeration Date2021-02-11
Last Update Date2021-02-11
Business Address
LARRY EDWIN LICHEY COTA
25507 VELVET ROSE
SAN ANTONIO, TX 78260-2491
Phone number: 210-218-4897
Mailing Address
LARRY EDWIN LICHEY COTA
25507 VELVET ROSE
SAN ANTONIO, TX 78260-2491
Phone number: 210-218-4897
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