Wanda J Lickteig
Occupational Therapist - Hand
1701 Curve Crest Blvd W Suite 104
Stillwater
, Minnesota 55082-6044
Wanda J Lickteig
Occupational Therapist - Hand
1701 Curve Crest Blvd W Suite 104
Stillwater
, Minnesota 55082-6044
(952) 512-5651
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Wanda J Lickteig
- 4200 Dahlberg Dr Suite 300
- Golden Valley, MN
- Zip : 55422-4840
- Fax : (952) 512-5651
- Phone : (952) 512-5600
Second Address
- Wanda J Lickteig
- 1701 Curve Crest Blvd W Suite 104
- Stillwater, MN
- Zip : 55082-6044
- Fax : (651) 439-0232
- Phone : (651) 439-8807
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FAQs
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Is Wanda J Lickteig a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 103078 | MN |
National Provider Identifier
| NPI | 1104932730 |
|---|---|
| Provider Name | Wanda J Lickteig |
| First Address | Golden Valley, MN 55422-4840 |
| Second Address | Stillwater, MN 55082-6044 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2006 |
| Last Update Date | 22/08/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.