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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDI HICKAM

Active

BRANDI HICKAM is a Occupational Therapy Assistant healthcare provider located in WATERLOO, Illinois. NPI 1790527661 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · WATERLOO, IL

Registration Details

NPI Number
1790527661
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2024 (2.1462459422419 yrs)
Last Updated
Jun 11, 2024
License
057.005879 (IL)

Practice Information

Address
1329 IL-3 SUITE 4
WATERLOO, IL, 62298
Browse IL providers · Browse ZIP 62298
Phone
6189397761
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in WATERLOO, IL

Name Credential NPI
KAREN LEIGH WAHN COTA L 1093856049
MRS. TAYLOR BECKER COTA/L 1215411731
LYNN M DELL COTA 1598422180
MICHELLE KILLION 1275290645
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.