BRANDI HICKAM

Occupational Therapy Assistant

Active Individual
NPI: 1790527661

Practice Address

1329 IL-3 SUITE 4
Waterloo, IL 62298

Phone: (618) 939-7761

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes 057.005879 (IL)

Frequently Asked Questions

NPI 1790527661 is the National Provider Identifier for BRANDI HICKAM, a Occupational Therapy Assistant provider located in Waterloo, IL. This NPI was enumerated on June 11, 2024.
BRANDI HICKAM practices at 1329 IL-3 SUITE 4, Waterloo, IL 62298.

Quick Facts

NPI
1790527661
Type
Individual
Enumerated
Jun 11, 2024
Last Updated
Jun 11, 2024

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