Individual
BRIAN FICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 WOODFIELD DR, MACON, GA 31210-5625
(478) 475-7988
Mailing address
314 HEARTHWOOD DR, KATHLEEN, GA 31047-3107
(478) 475-7988
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000744
GA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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