Individual
DR. DAVID JORDAN HICKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3231 MAIN ST STE 3, BRYANT, AR 72022-9201
(501) 847-0500
Mailing address
5519A LEE AVE, LITTLE ROCK, AR 72205-3439
(501) 230-0035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4883
AR
Other
Enumeration date
10/22/2020
Last updated
11/04/2020
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