Individual
MRS. KATHERINE REBECCA HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
135 GOSHEN ROAD EXT, RINCON, GA 31326-5567
(912) 826-3797
Mailing address
135 GOSHEN ROAD EXT, RINCON, GA 31326-5567
(912) 826-3797
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT009554
GA
2251X0800X
Orthopedic Physical Therapist
PT020367
PA
Other
Enumeration date
03/05/2009
Last updated
01/09/2019
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