| NPI | 1568943801 |
|---|---|
| Former Name | AMY EVELYN HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05014029A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT013569) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2025-02-05 |