Individual
KYLIE CELESTE FICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
128 BRAWLEY SCHOOL RD, MOORESVILLE, NC 28117-9102
(704) 799-2712
Mailing address
108 EAGLE WATCH RD, MUSCATINE, IA 52761-5381
(563) 261-6751
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
122985
IA
Other
Enumeration date
11/23/2023
Last updated
11/23/2023
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