Healthcare Provider Details

I. General information

NPI: 1467329714
Provider Name (Legal Business Name): SYDNEE HICKS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3815 NORMAN ST
ALEXANDRIA LA
71302-2544
US

IV. Provider business mailing address

3815 NORMAN ST
ALEXANDRIA LA
71302-2544
US

V. Phone/Fax

Practice location:
  • Phone: 318-416-3022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number349580
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: