Individual
BRANDON HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
5800 AMERICAN BLVD W, BLOOMINGTON, MN 55437-1471
(608) 575-8204
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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