Individual
CHADAYA HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
Mailing address
2817 REILLY ST, WOMACK ARMY MEDICAL CENTER, FORT BRAGG, NC 28310-7324
(910) 907-8922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9609
NC
Other
Enumeration date
09/01/2016
Last updated
12/28/2016
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