Individual
CARLYNN RENEE CORLEY PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT003584
GA
225X00000X
Occupational Therapist
Primary
OT22187
FL
225XP0200X
Pediatric Occupational Therapist
OT003584
GA
225XP0200X
Pediatric Occupational Therapist
OT22187
FL
Other
Enumeration date
08/16/2012
Last updated
06/10/2022
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