Individual
MR. ROBERT JOHN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7030 EVERGREEN WOODS TRL, SPRING HILL, FL 34608-1305
(352) 596-2005
Mailing address
10621 NORTHRIDGE CT, TRINITY, FL 34655-5039
(727) 375-9792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA10978
FL
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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