Thomas C Licklider II, CO
Thomas C Licklider II, CO is an Orthotist in Nebo, North Carolina. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
132 Forest Ridge DrNebo, NC 28761-8708
Phone: (314) 757-5395
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X |
|---|
Record details
| NPI number | 1568782860 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CO |
| Sole proprietor | No |
| NPI enumerated | June 9, 2010 |
| Last updated in NPPES | November 4, 2011 |
| Mailing address | 132 Forest Ridge Dr, Nebo, NC 28761-8708 |