Individual
MRS. ELIZABETH HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1029 YORK ST NE, AIKEN, SC 29801-4025
(803) 502-1484
Mailing address
1029 YORK ST NE, AIKEN, SC 29801-4025
(803) 502-1484
(803) 502-1485
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10116
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09813
MEDICARE IDENTIFICATION NUMBER
VA
Enumeration date
11/23/2015
Last updated
05/10/2025
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