Individual
TARA HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2021 K ST NW, STE 750, WASHINGTON, DC 20006-1003
(202) 293-1853
Mailing address
3541 39TH ST NW, #C507, WASHINGTON, DC 20016-3073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.15679
IL
225100000X
Physical Therapist
PT870897
DC
Other
Enumeration date
07/09/2008
Last updated
05/08/2009
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