Individual
ANDERSON HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR, CEAS
Contact information
Practice address
5001 N PIEDRAS ST, EL PASO, TX 79930-4210
(915) 564-6100
Mailing address
10502 CHETUMAL LN, EL PASO, TX 79925-3102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109840
TX
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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