Most Relevant Information
Provider Data
| NPI Number: | 1003037482 |
| Provider Name: | KRISTEN ANN RODEN-HICKS PTA, LATC, |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A2402 |
Most Important Dates
| Enumeration Date: | 05/01/2007 |
| Last Updated: | 12/20/2023 |
Provider Practice Location
9501 OLD ANNAPOLIS RD
125
ELLICOTT CITY
MD
210426314
Practice Location Phone/Fax
| Phone: | 4109971063 |
| Fax: | 4109971408 |
Provider Mailing Location
9501 OLD ANNAPOLIS RD STE 125
ELLICOTT CITY
MD
210426355
Provider Mailing Phone/Fax
| Phone: | 4109971063 |
| Fax: |