Individual
MRS. KATHRYN GRACE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
12955 PALMS WEST DR, SUITE 202, LOXAHATCHEE, FL 33470-4993
(561) 753-7010
(561) 753-7022
Mailing address
1166 OAKWATER DR, ROYAL PALM BEACH, FL 33411-6104
(561) 795-9394
(561) 753-7022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9968
FL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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