MS. Azalyn Hickman, OTRL
MS. Azalyn Hickman, OTRL is an Occupational Therapist in Private Practice in Fairfax, South Carolina. Qualified in 2016, 10 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Alabama and South Carolina.
- Years since qualifying
- 10
- Licensed in
- AL, SC
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1787 Allendale Fairfax HwyFairfax, SC 29827-9133
Phone: (803) 632-3311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 5161 (SC) |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X · Licence 4741 (AL) |
Record details
| NPI number | 1619456217 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTRL |
| Sole proprietor | Yes |
| NPI enumerated | August 14, 2018 |
| Last updated in NPPES | August 14, 2018 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Fairfax
-
Michaela Maria Ready, OTD, OTR/L
1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 · (803) 632-3311