Wade Hicken, PTA

NPI #1871374405 in Ogdensburg, New York

Provider Information

NPI Number: 1871374405
Entity Type: Individual
Name: Wade Hicken, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 10, 2023
Last Updated: Oct 10, 2023

Practice Location

Address: 214 KING ST
City: Ogdensburg
State: New York
ZIP Code: 13669-1142
Phone: (315) 393-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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