Individual
KAELEIGH RENEE HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CLT
Contact information
Practice address
38250 A AVE, ZEPHYRHILLS, FL 33542-5759
(813) 364-5550
(813) 364-5496
Mailing address
17436 SPRING VALLEY RD, DADE CITY, FL 33523-6260
(813) 713-0820
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT16397
FL
Other
Enumeration date
09/13/2017
Last updated
03/26/2018
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