Individual
DEBRA A HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
4812 EAST 33RD ST, TULSA, OK 74135-2038
(918) 664-6874
(918) 664-5273
Mailing address
4812 E 33RD ST, TULSA, OK 74135-2038
(918) 248-7981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3666
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200052190A
—
OK
Enumeration date
08/10/2006
Last updated
05/05/2011
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