Individual provider · Type 1 NPI

Lori M. Licker, OTR

Local Education Agency (LEA) · Central Islip, NY

NPI number 1124336680 Active

Practice location

150 Maya Cir
Central Islip, NY 11722-4542

Specialties and licenses

TaxonomyCodeLicense
Local Education Agency (LEA) Primary 251300000X2506 (NY)

Local Education Agency (LEA): The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in…

About NPI 1124336680

Lori M. Licker, OTR's National Provider Identifier is 1124336680, issued on Sep 18, 2010. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in Central Islip, NY. The record was last updated on Sep 18, 2010.