Individual
DANIEL E HICKLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3706 SOUTH MAIN ST, SUITE B, BLACKSBURG, VA 24060
(540) 951-4511
(540) 552-4050
Mailing address
3706 SOUTH MAIN ST, SUITE B, BLACKSBURG, VA 24060
(540) 951-4511
(540) 552-4050
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305003176
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242722301
UNITED HEALTHCARE
—
01
—
250995
ALLIANCE
—
01
—
289241
SOUTHERN HBACTH
—
01
—
322831
ANTHEM
VA
Enumeration date
07/22/2006
Last updated
10/13/2009
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