Individual
BRUCE E PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/ L
Contact information
Practice address
3916 BOYDS BRIDGE PIKE, KNOXVILLE, TN 37914-6233
(865) 524-1500
Mailing address
1151 WALDEN LEGACY WAY APT 436, KNOXVILLE, TN 37931-4652
(941) 720-6075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4104
TN
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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