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NPI Code Detail

MEDICARE: ERIN BRIDGET HICKS PT

MEDICARE: ERIN BRIDGET HICKS PT
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
1225100000XPhysical Therapist26610MD

General Provider Information

NPI Number : 1487172144
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN BRIDGET HICKS PT
Provider Business Mailing Address
First Line : 100 WALTER WARD BLVD STE 200
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1285
Country : US
Telephone Number : 443-512-8337
Fax Number :
Provider Business Practice Location Address
First Line : 100 WALTER WARD BLVD STE 200
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1285
Country : US
Telephone Number : 443-512-8337
Fax Number : 410-515-0027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2017
Last Update Date : 05/06/2024

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Directions to “ ERIN BRIDGET HICKS PT” Practice Location

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