Individual
JANIE JO HICKFANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4625 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4338
(614) 453-9866
(614) 326-0079
Mailing address
4625 KNIGHTSBRIDGE BLVD, COLUMBUS, OH 43214-4338
(614) 453-9866
(614) 326-0079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA000321
OH
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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