Individual
JUDITH H HICKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1202 E MAIN ST, HAVELOCK, NC 28532-2405
(252) 447-4005
(252) 447-4001
Mailing address
1202 E MAIN ST, HAVELOCK, NC 28532-2405
(252) 447-4005
(252) 447-4001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13487
NC
225100000X
Physical Therapist
PT003427L
PA
Other
Enumeration date
03/10/2006
Last updated
03/08/2012
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