Mark Bryan Hicks, PT
NPI #1619146289 in New Iberia, Louisiana
Provider Information
- NPI Number
- 1619146289
- Entity Type
- Individual
- Name
- Mark Bryan Hicks, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Feb 27, 2008
- Last Updated
- Feb 27, 2008
Practice Location
- Address
- 516 JEFFERSON TER
- Address 2
- SUITE 300
- City
- New Iberia
- State
- Louisiana
- ZIP Code
- 70560-4948
- Phone
- (337) 364-6366
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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