Hicks, Rhonda

Hicks, Rhonda is an individual health care provider with primary practice located at 1404 Golf Park Dr , Lake Ariel PA 18436-4252. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Hicks, Rhonda can be contacted via phone (570) 698-5647.

Contact Information

Primary practice address
1404 Golf Park Dr Lake Ariel PA 18436-4252
Phone: (570) 698-5647
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X TE1001372 Pennsylvania

Profile Details

NPI number 1245648443
LBN Legal business name Hicks, Rhonda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2014
Last updated Jul 31st, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245648443 NPPES
Pennsylvania Other 101802 FACILITY LICENSE #
Pennsylvania MEDICAID 102602636-0001 FACILITY LICENSE #

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