Individual
MRS. NANCY S. HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 FARM VALLEY CT, GREER, SC 29650-3600
(864) 848-4875
Mailing address
111 FARM VALLEY CT, GREER, SC 29650-3600
(864) 848-4875
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1017
SC
2251P0200X
Pediatric Physical Therapist
Primary
1017
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1213
—
SC
Enumeration date
10/09/2007
Last updated
10/09/2007
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