IndividualActive
Jarrod Hicks, COTA/L
NPI 1962216101 · Occupational Medicine Physician · Lebanon, NH
Provider details
- NPI number
- 1962216101
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- OTA008403 (OH)
Mailing address
655 S Willow St Ste 128
Manchester, NH 03103-5723
Registry dates
- Enumerated
- 2025-02-06
- Last updated
- 2025-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.