Individual
TAMMY HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 LIBERTY RIDGE LN, LEXINGTON, KY 40509-4564
(606) 271-1699
Mailing address
901 PRINCESS DOREEN DR, LEXINGTON, KY 40509-4470
(606) 271-1699
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
133940
KY
Other
Enumeration date
07/26/2020
Last updated
07/26/2020
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