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1710163589
LISA A. HICKS
STUDIO CITY, CA
NPI
1710163589
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MA 11026)
Enumeration Date
2008-01-11
Last Update Date
2013-03-04
Business Address
-- LISA A. HICKS PT
4301 COLFAX AVE #306
STUDIO CITY, CA 91604-2836
Phone number: 860-539-6045
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Mailing Address
-- LISA A. HICKS PT
4301 COLFAX AVE APT 306
STUDIO CITY, CA 91604-2832
Phone number: 860-539-6045
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