Individual
MR. DANIEL RYAN HICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1 COLLEGE ST, WORCESTER, MA 01610-2322
(508) 793-2627
(508) 793-3974
Mailing address
168 RIVER RD APT 436, ANDOVER, MA 01810-1063
(978) 609-7415
(508) 793-3974
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2361
MA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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