HOLLY LICKWALA

CENTRALIA, WA
NPI1699912295
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60272758)
Additional Taxonomies225100000X Physical Therapist
(Licence: AZ  6214)
Enumeration Date2009-01-19
Last Update Date2020-08-21
Business Address
HOLLY LICKWALA P.T.
1118 VIEW AVE
CENTRALIA, WA 98531-1870
Phone number: 360-736-8273
Mailing Address
HOLLY LICKWALA P.T.
1118 VIEW AVE
CENTRALIA, WA 98531-1870
Phone number: 360-736-8273