Individual
MRS. MARIJO PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
65 THOMAS JOHNSON DR STE D, FREDERICK, MD 21702-4371
(301) 663-7898
(301) 663-7793
Mailing address
9099 RIDGEFIELD DR STE 202, FREDERICK, MD 21701-6720
(301) 696-5595
(301) 696-0846
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3402
MD
Other
Enumeration date
07/25/2011
Last updated
04/27/2012
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