Individual
KATHI JEAN IRWIN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
184 BETHLEHEM PIKE, PHILADELPHIA, PA 19118-2815
(215) 753-2219
Mailing address
184 BETHLEHEM PIKE, PHILADELPHIA, PA 19118-2815
(215) 753-2219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010818
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC010818
COMMONWEALTH OF PA
PA
Enumeration date
08/11/2009
Last updated
08/11/2009
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