Coral Nicole Hicks, MOT
Coral Nicole Hicks, MOT is an Occupational Therapist in Ponte Vedra Beach, Florida. Licensed in Florida. Registered with an NPI since 2021.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
30 Tavernier Dr Unit B30Ponte Vedra Beach, FL 32081-0677
Phone: (904) 404-2345
Fax: (904) 789-6295
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 21961 (FL) |
|---|
Record details
| NPI number | 1265106819 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MOT |
| Sole proprietor | No |
| NPI enumerated | August 6, 2021 |
| Last updated in NPPES | July 22, 2024 |
| Certification date | July 22, 2024 |
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