Individual
MISTY BICKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400A KAUFMAN ST S, MOUNT VERNON, TX 75457-2834
(903) 846-2681
Mailing address
3560 COUNTY ROAD 2338, DOUGLASSVILLE, TX 75560-6822
(903) 846-2681
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2041523
TX
Other
Enumeration date
02/20/2016
Last updated
02/20/2016
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