MRS. Jennifer Diane Hickman, P.T.
NPI #1124163589 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1124163589
- Entity Type
- Individual
- Name
- MRS. Jennifer Diane Hickman, P.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1125 MADISON ST
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-5227
- Phone
- (573) 632-5622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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