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STACEY HICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
55 MAIN ST, LANCASTER, NH 03584-3027
(603) 586-4100
(603) 444-0473
Mailing address
55 MAIN ST, LANCASTER, NH 03584-3027
(603) 586-4100
(603) 444-0473

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
1987
NH
225100000X
Physical Therapist
Primary
1987
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30390311
NH
Enumeration date
08/19/2006
Last updated
11/07/2023
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