Individual
DEANNA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 E HIGHLAND AVE, REDLANDS, CA 92374-6233
(909) 792-5083
Mailing address
17149 GRAY PINE PL, SAN BERNARDINO, CA 92407-1504
(951) 255-7447
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3351
CA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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