Kaeleigh Renee Hicks
Occupational Therapist - Gerontology
38250 A Ave
Zephyrhills
, Florida 33542-5759
Kaeleigh Renee Hicks
Occupational Therapist - Gerontology
38250 A Ave
Zephyrhills
, Florida 33542-5759
(813) 713-0820
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Kaeleigh Renee Hicks
- 17436 Spring Valley Rd
- Dade City, FL
- Zip : 33523-6260
- Phone : (813) 713-0820
Second Address
- Kaeleigh Renee Hicks
- 38250 A Ave
- Zephyrhills, FL
- Zip : 33542-5759
- Fax : (813) 364-5496
- Phone : (813) 364-5550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OT16397 | FL |
National Provider Identifier
| NPI | 1164941902 |
|---|---|
| Provider Name | Kaeleigh Renee Hicks |
| First Address | Dade City, FL 33523-6260 |
| Second Address | Zephyrhills, FL 33542-5759 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2017 |
| Last Update Date | 26/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.