Tina Marie Hickson, LMT

NPI #1043561665 in Columbia, Maryland

Provider Information

NPI Number
1043561665
Entity Type
Individual
Name
Tina Marie Hickson, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Sep 21, 2012
Last Updated
Sep 21, 2012

Practice Location

Address
5525 TWIN KNOLLS RD
Address 2
SUITE 321
ZIP Code
21045-3266
Phone
(240) 459-3044

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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