Most Relevant Information
Provider Data
| NPI Number: | 1003490087 |
| Provider Name: | OLIVIA LICKWAR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 13401 |
Most Important Dates
| Enumeration Date: | 05/06/2021 |
| Last Updated: | 05/06/2021 |
Provider Practice Location
3907A W MARKET ST
GREENSBORO
NC
274071303
Practice Location Phone/Fax
| Phone: | 3362799008 |
| Fax: | 3367409099 |
Provider Mailing Location
319 PISGAH CHURCH RD APT 1C
GREENSBORO
NC
274552847
Provider Mailing Phone/Fax
| Phone: | 4239141284 |
| Fax: |