Individual
MR. TRAVIS RAY PICKENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
21630 MERCHANT WAY, KATY, TX 77449
(832) 230-1518
Mailing address
4618 CONNORVALE RD, HOUSTON, TX 77039-3515
(713) 894-7494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214177
TX
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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