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1891857926
DANE HICKERSON
DALLAS, TX
NPI
1891857926
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist Pediatrics
(Licence: TX 109857)
Enumeration Date
2006-12-14
Last Update Date
2007-07-08
Business Address
DANE HICKERSON OT
11880 GREENVILLE AVE SUITE 100
DALLAS, TX 75243-0587
Phone number: 214-349-6178
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Mailing Address
DANE HICKERSON OT
11880 GREENVILLE AVE SUITE 100
DALLAS, TX 75243-0587
Phone number: 214-349-6178
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