Individual
MRS. JANAE MARIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8919 PARK RD, CHARLOTTE, NC 28210-9600
(704) 551-6800
Mailing address
13625 FAIRINGTON OAKS DRIVE, MINT HILL, NC 28227
(607) 857-6470
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9333
NC
Other
Enumeration date
12/10/2008
Last updated
11/25/2014
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