Individual
MARK BRYAN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
306 N LEWIS ST STE A, NEW IBERIA, LA 70563-2924
(337) 364-7496
(337) 364-7499
Mailing address
PO BOX 640040, PIKE ROAD, AL 36064-0040
(337) 364-7496
(337) 364-7499
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01915
LA
Other
Enumeration date
02/27/2008
Last updated
02/26/2026
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