Individual
KATHLEEN M PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
8550 CADENZA LANE, DALLAS, TX 75228-4923
(214) 328-4309
(214) 328-7486
Mailing address
8550 CADENZA LANE, DALLAS, TX 75228-4923
(214) 328-4309
(214) 328-7486
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003969
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T2852
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/20/2006
Last updated
07/08/2007
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