Most Relevant Information
Provider Data
| NPI Number: | 1003278326 |
| Provider Name: | JORDYN HICKS |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 31005931A |
Most Important Dates
| Enumeration Date: | 03/25/2016 |
| Last Updated: | 03/25/2016 |
Provider Practice Location
251 HIGHWAY 66
NEW HARMONY
IN
476319075
Practice Location Phone/Fax
| Phone: | 8126824105 |
| Fax: |
Provider Mailing Location
693 E 1250 S
HAUBSTADT
IN
476398709
Provider Mailing Phone/Fax
| Phone: | 8126321345 |
| Fax: |