Individual
COLIN PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 N CONVENT ST STE 6, BOURBONNAIS, IL 60914-5602
(815) 928-8357
Mailing address
546 HOLLYBERRY LN, BOURBONNAIS, IL 60914-4908
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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