Individual
TRAVIS HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
955 RIBAUT RD, BEAUFORT, SC 29902-5441
(843) 522-5634
Mailing address
1707 RIVERSIDE DR, BEAUFORT, SC 29902-6458
(843) 441-5764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3391
SC
Other
Enumeration date
06/01/2017
Last updated
07/21/2022
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