Individual
MS. SUSAN ELIZABETH HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
1180 WAIANUENUE AVE, HAWAII STATE VETERANS HOSPITAL, HILO, HI 96720
(808) 974-4500
Mailing address
HC 3 BOX 13104, KEAAU, HI 96749-9227
(808) 966-7372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 30
HI
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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