Individual
BRENT HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, OTR/L
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7000
Mailing address
1313 OLD FALLSTON RD, FALLSTON, MD 21047-1837
(443) 869-1989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09800
MD
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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