Individual
KARISSA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
913 ESSEX DR, GRAHAM, NC 27253-3716
(201) 452-1195
Mailing address
913 ESSEX DR, GRAHAM, NC 27253-3716
(201) 452-1195
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3639
NC
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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