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Individual

SHALON HICKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
8543 WINCHESTER AVE, INWOOD, WV 25428-4022
(304) 229-1010
(304) 229-5151
Mailing address
23 FITNESS LN, BERKELEY SPRINGS, WV 25411-7080
(304) 258-1300
(304) 258-1400

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003531
WV
225100000X
Physical Therapist
2305207786
VA
225100000X
Physical Therapist
PT016481
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003531
PHYSICAL THERAPY
WV
Enumeration date
01/24/2013
Last updated
03/24/2021
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