Individual
LOWELL HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 W. MAIN ST., STE. #101-451, MESA, AZ 85201-7040
(480) 610-5808
Mailing address
1225 W. MAIN ST., STE. #101-451, MESA, AZ 85201-7040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3420
AZ
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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