Individual
EMILY E HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(423) 562-0760
Mailing address
136 DAVIS LN, LA FOLLETTE, TN 37766-3118
(423) 562-0760
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2362
TN
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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