Individual
ELEANOR HICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 E PROSPECT RD, SUITE 160, FORT COLLINS, CO 80525-9098
(970) 221-5811
(970) 221-5817
Mailing address
5080 SPECTRUM DR, SUITE 1200 W, ADDISON, TX 75001-4648
(972) 725-6673
(214) 775-4406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9743
CO
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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