Individual
MRS. KATHLEEN ANN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
225 WYOMING AVE, TORRINGTON, CT 06790-6043
(860) 482-8563
Mailing address
232 HEIGHTS DR, TORRINGTON, CT 06790-4436
(860) 482-3650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000042
CT
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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