Individual
ANNA ELIZABETH PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4119 60TH ST APT 3C, WOODSIDE, NY 11377-4906
(607) 592-0524
Mailing address
4119 60TH ST APT 3C, WOODSIDE, NY 11377-4906
(607) 592-0524
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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