Individual
PAMMIE HICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 BLUEGRASS AVE, LOUISVILLE, KY 40215-1130
(502) 361-2301
Mailing address
2106 CHURCHDOWN LN, LOUISVILLE, KY 40214-5646
(502) 550-1103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2531
KY
Other
Enumeration date
07/10/2014
Last updated
07/14/2015
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