Individual
CORY B PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
75 W WESMARK BLVD, SUMTER, SC 29150-1955
(803) 938-5395
(803) 938-5396
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6250
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012597A
IN
Other
Enumeration date
07/03/2017
Last updated
02/21/2018
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