Individual
MR. ERIC HICKS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
2625 SW 75TH ST, 1301, GAINESVILLE, FL 32607-6636
(352) 246-9578
Mailing address
2625 SW 75TH ST, 1301, GAINESVILLE, FL 32607-6636
(352) 246-9578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 11044
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z099Y
OUT OF NETWORK THERAPIST
FL
Enumeration date
01/03/2006
Last updated
07/09/2007
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