Individual provider · Type 1 NPI
Wanda J. Lickteig, OTR/L, CHT
Hand Occupational Therapist · Stillwater, MN
NPI number
1104932730
Active
Practice location
1701 Curve Crest Blvd W, Suite 104
Stillwater, MN 55082-6044
Fax (651) 439-0232
Mailing address
4200 Dahlberg Dr, Suite 300
Golden Valley, MN 55422-4840
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hand Occupational Therapist Primary | 225XH1200X | 103078 (MN) |
Hand Occupational Therapist: Definition to come...
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- Nicole Anne Sarauer, CNSGerontology Clinical Nurse Specialist Stillwater, MN NPI 1154864965
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About NPI 1104932730
Wanda J. Lickteig, OTR/L, CHT's National Provider Identifier is 1104932730, issued on Aug 23, 2006. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in Stillwater, MN. The record was last updated on Aug 22, 2016.