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Faith Maderah Hicks

Occupational Therapist in San Diego, CA. Individual provider (NPI-1).

NPI number1861973992
StatusActive
Last updated in NPPESOct 9, 2026

Details

NPI
1861973992
Entity type
Individual (NPI-1)
Name
Faith Maderah Hicks
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 27, 2018
Certification date
Oct 9, 2026
Last updated
Oct 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist20491CAYes

Practice location

5331 Mount Alifan Dr
San Diego, CA 92111-2600

Phone 619-795-1810

Mailing address

7263 Camino Degrazia Unit 32
San Diego, CA 92111-7852

Phone 714-318-5873

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