PAUL LICKTEIG

JBER, AK
NPI1598252686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TX  1287101)
Enumeration Date2018-04-16
Last Update Date2020-06-11
Business Address
PAUL LICKTEIG DPT
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number: 907-580-1701
Mailing Address
PAUL LICKTEIG DPT
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number: 907-580-1701
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