Lourdes Licuanan SLP

NPI 1710384318 - Occupational Therapist - 225X00000X

NPI Details
NPI 1710384318
Gender Female
Enumeration Date 11/25/2014
Last Updated 11/25/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
5606 SHIELDS DR
BETHESDA MD, 20817-3571, US
Phone (301) 493-0023
Fax
Business Location
2500 Q ST NW
WASHINGTON DC, 20007-4373, US
Phone (864) 230-0468
Fax
Toxanomy
Taxonomy Code 225X00000X
License State DO Columbia
License Number OT010000606
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According to our database, Lourdes Licuanan SLP NPI is 1710384318, taxonomy code is 225X00000X and license number is OT010000606, license state is located at DO Columbia. Lourdes Licuanan SLP physically located at 5606 Shields Dr, Bethesda MD, 20817-3571. NPI Number Lourdes Licuanan SLP has the Individual type.

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1710384318 NPI number is provided on an as is basis without warranty of any kind. 1710384318 is maintained by the National Plan & Provider Enumeration System. The contents of Lourdes Licuanan SLP are for informational purposes only.