Individual
ERIN MICHELLE PICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 E COLLEGE ST, ENERGY, IL 62933-3568
(618) 942-7014
Mailing address
612 N ADAMS ST, WEST FRANKFORT, IL 62896-1469
(618) 923-0315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005238
IL
Other
Enumeration date
01/02/2021
Last updated
01/02/2021
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