Individual
MRS. JANA LYN HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
510 SURREY LN, FAIRVIEW, OK 73737-1006
(405) 612-9534
Mailing address
510 SURREY LN, FAIRVIEW, OK 73737-1006
(405) 612-9534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT671
OK
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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