Individual
AMANDA HICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11854 ALLISONVILLE RD, FISHERS, IN 46038-2312
(317) 845-9628
(317) 845-9740
Mailing address
11854 ALLISONVILLE RD, FISHERS, IN 46038-2312
(317) 845-9628
(317) 845-9740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011750A
IN
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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