Individual
CHRIS HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 18TH AVE APT A4, ROCK ISLAND, IL 61201-4322
(563) 726-3874
Mailing address
1450 18TH AVE APT A4, ROCK ISLAND, IL 61201-4322
(563) 726-3874
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007015
IL
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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