Kelly Hicks, COTA/L
Occupational Therapy Assistant in Allen, TX. Individual provider (NPI-1).
NPI number1013374438
StatusActive
Last updated in NPPESSep 28, 2023
Details
- NPI
- 1013374438
- Entity type
- Individual (NPI-1)
- Name
- Kelly Hicks
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 15, 2016
- Certification date
- Sep 28, 2023
- Last updated
- Sep 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 18-01276 | KS | Yes |
| 224Z00000X | Occupational Therapy Assistant | 216528 | TX |
Practice location
1806 Lake Texoma CirAllen, TX 75002-4840
Phone 419-908-5376
Mailing address
1806 Lake Texoma CirAllen, TX 75002-4840
Phone 419-908-5376
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All 17 Occupational Therapy Assistant providers in Allen · All 2,706 providers in Allen
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