Individual
NANCY E HICKMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2255 WEAMONT ST, WINSTON SALEM, NC 27107-2486
(336) 577-3108
Mailing address
2255 WEAMONT ST, WINSTON SALEM, NC 27107-2486
(336) 577-3108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
6318
NC
225X00000X
Occupational Therapist
Primary
6318
NC
225XE0001X
Environmental Modification Occupational Therapist
6318
NC
225XE1200X
Ergonomics Occupational Therapist
6318
NC
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
6318
NC
225XG0600X
Gerontology Occupational Therapist
6318
NC
225XM0800X
Mental Health Occupational Therapist
6318
NC
225XN1300X
Neurorehabilitation Occupational Therapist
6318
NC
225XP0019X
Physical Rehabilitation Occupational Therapist
6318
NC
225XP0200X
Pediatric Occupational Therapist
6318
NC
225XR0403X
Driving and Community Mobility Occupational Therapist
6318
NC
Other
Enumeration date
10/05/2011
Last updated
11/11/2025
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