CHASE ALDWIN HICKS

BENTON, AR
NPI1841905692
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  4799)
Enumeration Date2023-01-17
Last Update Date2023-01-17
Business Address
CHASE ALDWIN HICKS
17706 INTERSTATE 30 N STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
Mailing Address
CHASE ALDWIN HICKS
17706 INTERSTATE 30 N STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
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