Individual
ASHLEY HICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8836 MARS DR, HEWITT, TX 76643-3195
(254) 420-5500
Mailing address
122 THOUSAND OAKS DR, WHITNEY, TX 76692-4801
(254) 707-1724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214408
TX
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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