Mark Bryan Hicks PT

NPI 1619146289 - Physical Therapist - 225100000X

NPI Details
NPI 1619146289
Gender Male
Enumeration Date 02/27/2008
Last Updated 02/27/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
516 JEFFERSON TER
SUITE 300
NEW IBERIA LA, 70560-4948, US
Phone (337) 364-6366
Fax (337) 364-6166
Business Location
516 JEFFERSON TERRACE BLVD
SUITE 300
NEW IBERIA LA, 70560, US
Phone (337) 364-6366
Fax (337) 364-6166
Toxanomy
Taxonomy Code 225100000X
License State Louisiana
License Number 01915
Remove 1619146289 NPI Number
 

According to our database, Mark Bryan Hicks PT NPI is 1619146289, taxonomy code is 225100000X and license number is 01915, license state is located at Louisiana. Mark Bryan Hicks PT physically located at 516 Jefferson Ter, New Iberia LA, 70560-4948. NPI Number Mark Bryan Hicks PT has the Individual type.

Sponsored links

1619146289 NPI number is provided on an as is basis without warranty of any kind. 1619146289 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Bryan Hicks PT are for informational purposes only.