Individual
KILEY PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
300 HOSPITAL ST, MOULTON, AL 35650-1268
(256) 974-1146
Mailing address
2596 COUNTY ROAD 1117, VINEMONT, AL 35179-8873
(256) 636-5067
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4287
AL
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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