Individual
JASMINE MAE HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, BSN, OTR/L, RN
Contact information
Practice address
6000 YOUNGSTOWN WARREN RD, NILES, OH 44446-4624
(330) 505-2800
Mailing address
1669 HOUSEL CRAFT RD, BRISTOLVILLE, OH 44402-9602
(330) 240-4785
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN.494791
OH
225XP0200X
Pediatric Occupational Therapist
Primary
OT013078
OH
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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