Individual
MR. JOSEPH P PICKAVANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
3193 HOWELL MILL RD NW, STE 135, ATLANTA, GA 30327-2115
(404) 477-5746
(404) 477-5747
Mailing address
1280 BROWNSTONE DRIVE, MARIETTA, GA 30008-3251
(404) 232-0300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005474
GA
Other
Enumeration date
07/06/2012
Last updated
09/06/2012
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