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Individual

SHAUN PATRICK HICKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
14145 SIMONE DR, SHELBY TOWNSHIP, MI 48315-3228
(586) 566-6280
Mailing address
13141 MONTEGO DR, STERLING HEIGHTS, MI 48312-3269
(586) 873-3471

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007024
MI

Other

Enumeration date
12/04/2008
Last updated
12/04/2008
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