Individual
CUTISHA MOORE-HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
4305 LADY SLIPPER LN, DURHAM, NC 27704-6406
(919) 328-9855
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4771
NC
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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