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1245423987
LISA MOORE HICKS
SARASOTA, FL
NPI
1245423987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT19204)
Enumeration Date
2007-08-27
Last Update Date
2007-08-27
Business Address
Mrs. LISA MOORE HICKS MPT
4620 17TH ST
SARASOTA, FL 34235-1843
Phone number: 941-371-8820
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Mailing Address
Mrs. LISA MOORE HICKS MPT
4620 17TH ST
SARASOTA, FL 34235-1843
Phone number: 941-371-8820
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