| Ms Azalyn Hickman, OTRL | |
|
1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 | |
| (803) 632-3311 | |
| Not Available |
| Full Name | Ms Azalyn Hickman |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1787 Allendale Fairfax Hwy, Fairfax, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619456217 | NPI | - | NPPES |
| 1033106596 | Other | SC | ALDEN LAKELAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 4741 (Alabama) | Secondary |
| 225X00000X | Occupational Therapist | 5161 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Azalyn Hickman, OTRL 5830 Coral Ridge Dr Ste 300, Coral Springs, FL 33076-3388 Ph: (954) 510-4045 | Ms Azalyn Hickman, OTRL 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 Ph: (803) 632-3311 |
Michaela Maria Ready, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1787 Allendale Fairfax Hwy, Fairfax, SC 29827 Phone: 803-632-3311 |