Rebecca Kickham
Rebecca Kickham is a Developmental Therapist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
910 N Jefferson StJacksonville, FL 32209-6810
Phone: (904) 360-7022
Fax: (904) 798-4544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence SA12021 (FL) |
|---|---|
| Developmental Therapist | Taxonomy 222Q00000X |
Record details
| NPI number | 1124473509 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2016 |
| Last updated in NPPES | January 15, 2019 |
| Mailing address | 910 N Jefferson St, Jacksonville, FL 32209-6810 |
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