Individual
SAMANTHA HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 WATERVIEW PKWY FL 1, RICHARDSON, TX 75080-1400
(972) 669-7181
Mailing address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(469) 426-7410
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1356969
TX
261QP2000X
Physical Therapy Clinic/Center
Primary
1356969
TX
Other
Enumeration date
03/09/2022
Last updated
10/04/2024
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