Individual
HEIDI HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
325 9TH AVE, BOX 359715, SEATTLE, WA 98104-2499
(206) 744-9220
Mailing address
325 9TH AVE, BOX 359715, SEATTLE, WA 98104-2499
(206) 744-9220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60590252
WA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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