Kelly Hicks, COTA/L

NPI #1013374438 in Allen, Texas

Provider Information

NPI Number: 1013374438
Entity Type: Individual
Name: Kelly Hicks, COTA/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapy Assistant
Credential: COTA/L
Enumeration Date: Jan 15, 2016
Last Updated: Sep 28, 2023

Practice Location

Address: 1806 LAKE TEXOMA CIR
City: Allen
State: Texas
ZIP Code: 75002-4840
Phone: (419) 908-5376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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