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Individual

MARTHA HICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SP

Contact information

Practice address
1176 RIDDLEWOOD LN, HIGHLANDS RANCH, CO 80129-6990
(303) 949-4434
Mailing address
1176 RIDDLEWOOD LN, HIGHLANDS RANCH, CO 80129-6990
(303) 949-4434

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
12055782
CO
235Z00000X
Speech-Language Pathologist
Primary
12055782
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CPR
DESERT MTN AFFLIATE
CO
Enumeration date
10/19/2006
Last updated
12/07/2009
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