Individual
JOLYNN PICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7312 GERONIMO CIR, NORTH LITTLE ROCK, AR 72116-4363
(501) 835-4593
Mailing address
7312 GERONIMO CIR, NORTH LITTLE ROCK, AR 72116-4363
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
494
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105271724
—
AR
05
—
116879742
—
AR
05
—
142059724
—
AR
05
—
174055721
—
AR
Enumeration date
07/25/2008
Last updated
08/14/2009
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