Wanda J Lickteig is a Hand in Golden Valley, Minnesota. Wanda J Lickteig practices all healthcare services and medical treatments related to Hand. The NPI Number for Wanda J Lickteig is 1104932730. The last update date is 2016-08-22.
Wanda J Lickteig's current location address is 4200 Dahlberg Dr, Golden Valley, Minnesota. You can contact this provider via phone number 9525125600 and fax number 9525125651. The mailing address for Wanda J Lickteig is 4200 Dahlberg Dr, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda J Lickteig |
|---|---|
| Address | 4200 Dahlberg Dr, Golden Valley, Minnesota |
| Phone Number | 9525125600 |
| Fax Number | 9525125651 |
| Sole Proprietor | N |
| Credentials | OTR/L, CHT |
NPI Number Detail
| NPI Number | 1104932730 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2016-08-22 |
Provider Mailing Address Detail
| Address | 4200 Dahlberg Dr |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 554224840 |
| Phone Number | 9525125600 |
| Fax Number | 9525125651 |
Provider's Primary Taxonomy Detail
| Speciality | Hand |
|---|---|
| Taxonomy | 225Xh1200X |
| Licence No | 103078 |
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Definition: An occupational therapist who specializes in treating hand, wrist and forearm injuries or impairments to help regain function and dexterity. |
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What is the unique 10-digit identification code assigned to Wanda J Lickteig by the Centers for Medicare & Medicaid Services?
The Wanda J Lickteig has been issued the NPI (National Provider Identifier) 1104932730, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Wanda J Lickteig is physically located?
The Wanda J Lickteig is physically situated at the following address: 4200 Dahlberg Dr, Golden Valley, MN, 554224840.
What is the Wanda J Lickteig's specialty and taxonomy code?
The Wanda J Lickteig's specialty is Hand, and the corresponding taxonomy code is 225Xh1200X.
On what date was the 1104932730 assigned to Wanda J Lickteig?
The Wanda J Lickteig was issued its 1104932730 on 2006-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Wanda J Lickteig most recently updated?
The details pertaining to the Wanda J Lickteig, including its address, specialty, and other relevant information, were last refreshed on 2016-08-22.
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