Individual
KATIE HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7455 NEW RIDGE RD, SUITE L, HANOVER, MD 21076-3143
(410) 850-0333
Mailing address
7455 NEW RIDGE RD, SUITE L, HANOVER, MD 21076-3143
(410) 850-0333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1464-39
WI
Other
Enumeration date
08/14/2014
Last updated
05/28/2015
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