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Individual
COURTNEY PICKEL
Active
Individual
COURTNEY PICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305206123
VA
225100000X
Physical Therapist
PT0000004719
TN
2251P0200X
Pediatric Physical Therapist
2305206123
VA
2251P0200X
Pediatric Physical Therapist
Primary
PT0000004719
TN
Other
Enumeration date
07/16/2008
Last updated
01/12/2015
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