Individual
CARLY KAREN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14145 SIMONE DR, SHELBY TOWNSHIP, MI 48315-3228
(586) 566-6280
Mailing address
13141 MONTEGO DR, STERLING HEIGHTS, MI 48312-3269
(586) 260-7143
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007016
MI
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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