Individual
JANELLE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9602 COLDWATER RD STE 102, FORT WAYNE, IN 46825-2095
(260) 489-9887
(260) 489-9121
Mailing address
9602 COLDWATER RD STE 102, FORT WAYNE, IN 46825-2095
(260) 489-9887
(260) 489-9121
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004155A
IN
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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