Tracy Scott Hickam
NPI #1891654349 in Edwardsville, Illinois
Provider Information
- NPI Number
- 1891654349
- Entity Type
- Individual
- Name
- Tracy Scott Hickam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Jan 20, 2026
- Last Updated
- Jan 21, 2026
Practice Location
- Address
- 3210 STAUNTON RD
- City
- Edwardsville
- State
- Illinois
- ZIP Code
- 62025-6926
- Phone
- (559) 563-5760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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