Individual
MRS. MARY B PICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,MS,PCS
Contact information
Practice address
11309 SHADY GLEN RD, OKLAHOMA CITY, OK 73162-3435
(405) 323-6003
Mailing address
11309 SHADY GLEN RD, OKLAHOMA CITY, OK 73162-3435
(405) 323-6003
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
778
OK
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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