Individual
JORDYN HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
251 HIGHWAY 66, NEW HARMONY, IN 47631-9075
(812) 682-4105
Mailing address
693 E 1250 S, HAUBSTADT, IN 47639-8709
(812) 632-1345
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005931A
IN
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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