Individual
SHANETTA PICKERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 W FRIENDLY AVE, GREENSBORO, NC 27410-4160
(336) 292-1301
Mailing address
4229 YANCEYVILLE RD APT Y, BROWNS SUMMIT, NC 27214-8003
(704) 258-9021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8494
NC
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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