Organization
HICKOK REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY A HICKOK PT (OWNER)
(715) 669-5520
Entity
Organization
Contact information
Practice address
314 N WASHINGTON ST, THORP, WI 54771-9531
(715) 669-5520
Mailing address
314 N WASHINGTON ST, THORP, WI 54771-9531
(715) 669-5520
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
4639-024
WI
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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