| Mrs Kimberly Hickman, MS, OTR/L | |
|
10000 Shannondell Dr, Audubon, PA 19403-5615 | |
| (610) 382-8710 | |
| Not Available |
| Full Name | Mrs Kimberly Hickman |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist In Private Practice |
| Experience | 17 Years |
| Location | 10000 Shannondell Dr, Audubon, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043698947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OC011276 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannondell, Inc. | 9032141189 | 13 |
| Provider Name | Shannondell, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922056076 PECOS PAC ID: 9032141189 Enrollment ID: O20130627000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kimberly Hickman, MS, OTR/L 18 S Malin Rd, Broomall, PA 19008-1801 Ph: (610) 416-0199 | Mrs Kimberly Hickman, MS, OTR/L 10000 Shannondell Dr, Audubon, PA 19403-5615 Ph: (610) 382-8710 |
Victoria Williamson, MS, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 10000 Shannondell Dr, Audubon, PA 19403 Phone: 610-382-6849 | |
Sandra Holms, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10000 Shannondell Dr, Audubon, PA 19403 Phone: 610-382-6849 | |
Abigail Marie Girafalco, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10000 Shannondell Dr, Audubon, PA 19403 Phone: 610-728-5200 |