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Individual

BILLY TORIN HICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
501 CARRIAGE DR, LUFKIN, TX 75904-0888
(409) 200-1032
Mailing address
501 CARRIAGE DR, LUFKIN, TX 75904-0888
(409) 200-1032

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215804

Other

Enumeration date
02/11/2025
Last updated
02/11/2025
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