JESSICA LICHMAN

OSCEOLA, WI
NPI1992238927
Former NameJESSICA SAMUELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  1944-19)
Enumeration Date2017-04-06
Last Update Date2017-04-06
Business Address
JESSICA LICHMAN PTA
2650 65TH AVE
OSCEOLA, WI 54020
Phone number: 715-294-1100
Mailing Address
JESSICA LICHMAN PTA
519 NORTH DALLAS ST
RIVER FALLS, WI 54022
Phone number: 262-873-0590
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