Individual
MRS. TAMMIE LYNN HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2759 SR 580 STE 112, PEDIATRIC THERAPYWORKS, CLEARWATER, FL 33761
(727) 724-5437
Mailing address
704 LYNDHURST ST UNIT 604, DUNEDIN, FL 34698-7769
(727) 223-3930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OA1877
ME
224Z00000X
Occupational Therapy Assistant
Primary
OTA000488
FL
Other
Enumeration date
08/15/2008
Last updated
08/27/2014
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