NPI 1104924257

Antonette B Hicks, PT

Practitioner Physical Therapist Lady Lake, FL

Practice location

Address: 134 N Old Dixie Hwy, Lady Lake, FL 32159-4347
Phone: (352) 751-6627
Fax: (352) 751-6628
Mailing address: 2763 University Acres Dr, Orlando, FL 32817-3015

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT0010599 (FL)

Other Physical Therapist providers in Florida →

Registry record

NPI: 1104924257
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.