Individual
BRITTANY E HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7300 OLEANDER AVE, PORT SAINT LUCIE, FL 34952-8221
(954) 803-9085
Mailing address
609 SW ESTER AVE, PORT SAINT LUCIE, FL 34983-1848
(954) 803-9085
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10999
FL
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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