Doctor Name: | JUDITH H HICKES |
NPI Number: | 1174591697 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT003427L |
Business Practice Address: | 1202 E Main St Havelock, NC - 285322405 |
Business Phone Number: | 2524474005 |
Business Fax Number: | 2524474001 |
Mailing Address: | 1202 E Main St, HAVELOCK |
State: | NC |
Postal Code: | 285322405 |
Phone Number: | 2524474005 |
Fax Number: | 2524474001 |
NPI Enumeration Date: | 03/10/2006 |
NPI Last Update Date: | 03/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT003427L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |