MARANDA HICKMAN

MOUNTAIN HOME, AR
NPI1619513934
Former NameMARANDA MARTIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  4492)
Enumeration Date2019-11-21
Last Update Date2019-11-21
Business Address
MARANDA HICKMAN
347 HWY 62 EAST COLLEGE PLAZA
MOUNTAIN HOME, AR 72653
Phone number: 870-701-5089
Mailing Address
MARANDA HICKMAN
PO BOX 1266
MOUNTAIN HOME, AR 72654-1266
Phone number:
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