Individual
MRS. BRANDI ELIZABETH HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5069 OTTERBEIN WAY, MONCLOVA, OH 43542-8500
(419) 878-0550
Mailing address
1615 CIRCULAR RD, TOLEDO, OH 43614-4202
(419) 309-0371
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002754
OH
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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