| NPI | 1851628143 |
|---|---|
| Former Name | CARMEN MARIE HICKEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 7909) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IL 056008848) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2025-07-25 |