| NPI | 1790844801 |
|---|---|
| Former Name | CHRISTA JOY HICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 10816) |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology (Licence: NC 10816) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-01-14 |