Individual
JORDANA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
840 HAMMOND ST STE 2, BANGOR, ME 04401-4388
(207) 433-7778
(866) 220-5031
Mailing address
840 HAMMOND ST STE 2, BANGOR, ME 04401-4388
(207) 433-7778
(866) 220-5031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3232
ME
Other
Enumeration date
08/16/2022
Last updated
09/25/2023
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