Individual
RAYLYNN JENNIFER HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
726 E MAIN ST STE 102, MIDDLETOWN, NY 10940-2654
(845) 394-0080
Mailing address
30 RAILROAD CIR, PORT JERVIS, NY 12771-2917
(845) 281-4359
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011449
NY
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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