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Thomas C Licklider II, CO
Orthotist in Nebo, North Carolina
NPI 1568782860

Thomas C Licklider II is a Orthotist based in Nebo, NC. Thomas C Licklider II practices in Nebo, NC and has the professional credentials of CO. The NPI Number for Thomas C Licklider II is 1568782860 and holds a License No. (North Carolina).

The current practice location address for Thomas C Licklider II is 132 Forest Ridge Dr, Nebo, NC and can be reached out via phone at 314-757-5395.

Location: 132 Forest Ridge Dr, Nebo, NC, 28761-8708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568782860
Provider Name
Thomas C Licklider II
Credential
CO
Provider Entity Type
Individual
Gender
Male
Address
132 Forest Ridge Dr, Nebo, NC, 28761-8708
Phone Number
314-757-5395
Fax Number
Provider Enumeration Date
06/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
132 Forest Ridge Dr
City
Nebo
State
North Carolina
Zip
28761-8708
Phone Number
314-757-5395
Fax Number
person
Provider Business Mailing Address Details
Address
132 Forest Ridge Dr
City
Nebo
State
North Carolina
Zip
28761-8708
Phone Number
314-757-5395
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
()
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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