Individual
MRS. KIMBERLY HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
10000 SHANNONDELL DR, AUDUBON, PA 19403-5615
(610) 382-8710
Mailing address
18 S MALIN RD, BROOMALL, PA 19008-1801
(610) 416-0199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011276
PA
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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