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NPI Code Detail

MEDICARE: MS. JULIE MARIE HICKIN OTRL

MEDICARE: MS. JULIE MARIE HICKIN OTRL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT 005738OH
2225XH1200XHand Occupational TherapistOT 005738OH

General Provider Information

NPI Number : 1992838940
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE MARIE HICKIN OTRL
Provider Business Mailing Address
First Line : 6520 PITTS BLVD
Second Line : APT 321
City : NORTH RIDGEVILLE
State : OH
Zip : 44039-3146
Country : US
Telephone Number : 440-233-1000
Fax Number :
Provider Business Practice Location Address
First Line : 1800 LIVINGSTON AVE
Second Line : BLDG C
City : LORAIN
State : OH
Zip : 44052-3781
Country : US
Telephone Number : 440-233-1070
Fax Number : 440-233-1056
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 09/11/2025

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