Individual
MR. JOSHUA GARRISON HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
114 SMOKETREE WAY, LOUISBURG, NC 27549-2117
(919) 496-6084
Mailing address
1229 LAKE ROYALE, LOUISBURG, NC 27549-7449
(252) 478-7819
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4186
NC
Other
Enumeration date
10/17/2010
Last updated
10/17/2010
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