Individual
CYNTHIA ANN PICKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 632-4885
Mailing address
1395 BINGHAM DR, DE PERE, WI 54115-4063
(920) 632-4885
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10894-024
WI
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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