Individual
JENNIE R HICKIN
Active
Individual
JENNIE R HICKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012322
OH
225100000X
Physical Therapist
020285
NY
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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