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

CHRISTOPHER LICEA, DPT

Active

CHRISTOPHER LICEA, DPT is a Physical Therapy Assistant healthcare provider located in GRANITE FALLS, North Carolina. NPI 1588382709 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GRANITE FALLS, NC

Registration Details

NPI Number
1588382709
Provider Type
Individual
Gender
Male
NPI Issued
Aug 15, 2022 (3.8159572885459 yrs)
Last Updated
May 14, 2024
Licenses
PT39209 (FL)
P22816 (NC)

Practice Information

Address
160 RIVER BEND DR STE 104
GRANITE FALLS, NC, 286309389
Browse NC providers · Browse ZIP 28630
Phone
8282125098
Fax
8283130376
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in GRANITE FALLS, NC

Name Credential NPI
MRS. CHRISTINE ANN SIGMON MPT 1538118096
MR. KYLE ALDEN CLONTZ PT, DPT 1366526915
MR. MICHAEL C MALONE PT 1093953937
JORDAN PAUL RODRIGUES PT, DPT 1184218166
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.