Individual
RODNEY HICKMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5776 ALBANS CIR, LITHONIA, GA 30058
(414) 801-7632
Mailing address
5776 ALBANS CIR, LITHONIA, GA 30058
(414) 801-7632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2418933
GA
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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