JEFFERSON JAMES LICUP, OTR/L

OTR/L

Occupational Therapist

NPI: 1437484110Individual

Specialties, Licenses & Credentials

Occupational TherapistPrimary

Occupational Therapist

Code: 225X00000X

056007185(IL)

Contact & Hours

Address: 226 TIGER ST
BOLINGBROOK, IL 60490
Phone: (708) 822-8886

Quick Facts

NPI: 1437484110
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile