Individual
JACOB HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT
Contact information
Practice address
8685 W. UNION HILLS DRIVE, 8685 W. UNION HILLS DRIVE, PEORIA, AZ 85382
(623) 486-2331
(623) 486-3136
Mailing address
8685 W. UNION HILLS DRIVE, 8685 W. UNION HILLS DRIVE, PEORIA, AZ 85382
(623) 486-2331
(623) 486-3136
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP000358T
AZ
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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