Individual
KELLY HICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 KIPLING ST, LAKEWOOD, CO 80226-7425
(404) 808-0894
Mailing address
4030 ZEPHYR DR, WHEAT RIDGE, CO 80033-4558
(404) 808-0894
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004374
CO
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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