Individual
MRS. COURTNEY FICKLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
110 SOLANA RD, PONTE VEDRA BEACH, FL 32082
(912) 682-9090
Mailing address
361 9TH ST, ATLANTIC BEACH, FL 32233-5437
(912) 682-9090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14329
FL
Other
Enumeration date
09/16/2010
Last updated
07/31/2018
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