Individual
MRS. LISA M PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
845 N MAIN ST, SUITE 1B, PROVIDENCE, RI 02904-5700
(401) 270-1905
(401) 270-5658
Mailing address
845 N MAIN ST, SUITE 1B, PROVIDENCE, RI 02904-5700
(401) 270-1905
(401) 270-5658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01811
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31245-9
BLUE CROSS BLUE SHIELD
RI
01
—
31559
NHPRI
RI
01
—
411184
BLUE CHIP
RI
01
—
LP61461
RITE SHARE COPAY PROVIDER
RI
01
—
PT01811
STATE LICENSE
RI
Enumeration date
04/24/2006
Last updated
06/07/2011
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