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Individual

MRS. ELAINE K PICKENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
170 MILL ST, GAHANNA, OH 43230-3036
(614) 414-5437
(614) 414-0280
Mailing address
300 N ALGONQUIN AVE, COLUMBUS, OH 43204-2033
(614) 279-0690

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
391
OH

Other

Enumeration date
04/29/2008
Last updated
04/29/2008
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