Lakisha Deshawnda Chaffin-hickerson OTR/L

NPI 1780763334 - Military Health Care Provider - 171000000X

NPI Details
NPI 1780763334
Gender Female
Enumeration Date 11/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2200 BERGQUIST DR STE 1
DEPARTMENT OF OCCUPATIONAL THERAPY, WHMC
LACKLAND A F B TX, 78236-9908, US
Phone (210) 292-5253
Fax (210) 292-7991
Business Location
2200 BERGQUIST DR STE 1
DEPARTMENT OF OCCUPATIONAL THERAPY, WHMC
LACKLAND A F B TX, 78236-9908, US
Phone (210) 292-5253
Fax (210) 292-7991
Toxanomy
Taxonomy Code 171000000X
License State Texas
License Number 111666
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According to our database, Mrs. Lakisha Deshawnda Chaffin-hickerson OTR/L NPI is 1780763334, taxonomy code is 171000000X and license number is 111666, license state is located at Texas. Lakisha Deshawnda Chaffin-hickerson OTR/L physically located at 2200 Bergquist Dr Ste 1, Lackland A F B TX, 78236-9908. NPI Number Lakisha Deshawnda Chaffin-hickerson OTR/L has the Individual type.

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1780763334 NPI number is provided on an as is basis without warranty of any kind. 1780763334 is maintained by the National Plan & Provider Enumeration System. The contents of Lakisha Deshawnda Chaffin-hickerson OTR/L are for informational purposes only.