MR. Samuel Theodore Hicks II

NPI #1184384174 in Seaford, New York

Provider Information

NPI Number
1184384174
Entity Type
Individual
Name
MR. Samuel Theodore Hicks II
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Dec 18, 2021
Last Updated
Dec 18, 2021

Practice Location

Address
1315 ALKEN AVE
ZIP Code
11783-1404
Phone
(631) 339-4617

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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