Individual
KIMBERLY SUZANNE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(214) 467-9787
Mailing address
18211 KELLY BLVD APT 1111, DALLAS, TX 75287-4681
(405) 496-2896
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117036
TX
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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