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Individual

DR. DONNA JEAN HICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
10085 RED RUN BLVD, OWINGS MILLS, MD 21117-4836
(410) 363-4887
(410) 363-3599
Mailing address
1507 INGLESIDE AVE, GWYNN OAK, MD 21207-4946
(410) 747-3213

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20754
MD

Other

Enumeration date
07/24/2009
Last updated
06/14/2012
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