Individual
JENNIFER HICKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
398 FINCASTLE RD, WINCHESTER, OH 45697-9783
(937) 695-0839
Mailing address
10167 KY 57, TOLLESBORO, KY 41189-8901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R3833
KY
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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