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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WANDA J LICKTEIG, OTR/L, CHT

Active

WANDA J LICKTEIG, OTR/L, CHT is a Hand Occupational Therapist healthcare provider located in STILLWATER, Minnesota. NPI 1104932730 is currently active in the NPPES registry. Verify at CMS.

Hand Occupational Therapist · STILLWATER, MN

Registration Details

NPI Number
1104932730
Provider Type
Individual
Gender
Female
NPI Issued
Aug 23, 2006 (19.933388760213 yrs)
Last Updated
Aug 22, 2016
License
103078 (MN)

Practice Information

Address
1701 CURVE CREST BLVD W
SUITE 104
STILLWATER, MN, 550826044
Browse MN providers · Browse ZIP 55082
Phone
6514398807
Fax
6514390232
Primary Specialty
Hand Occupational Therapist
225XH1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.