Individual provider · Type 1 NPI

Lakisha Deshawnda Chaffin-Hickerson, OTR/L

Military Health Care Provider · Lackland A F B, TX

NPI number 1780763334 Active

Practice location

2200 Bergquist Dr Ste 1, Department Of Occupational Therapy, Whmc
Lackland A F B, TX 78236-9908

Call (210) 292-5253 Map

Fax (210) 292-7991

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X111666 (TX)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1780763334

Lakisha Deshawnda Chaffin-Hickerson, OTR/L's National Provider Identifier is 1780763334, issued on Nov 3, 2006. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Lackland A F B, TX. The record was last updated on Jul 8, 2007.