Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 2305202628 | VA |
NPI | 1396952529 |
---|---|
Provider Name | Ms. Alison Marie Lichy |
First Address | Falls Church, VA 22043-2367 |
Second Address | Falls Church, VA 22043-2367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 21/07/2014 |