Individual
KATHERINE CARON HICKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Mailing address
2515 WRIGHTSBORO RD, AUGUSTA, GA 30904-5340
(704) 497-3003
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008346
GA
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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