Individual
MR. JAMES WILLIAM PICKETT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
101 W SOUTHWAY BLVD, KOKOMO, IN 46902-3653
(765) 453-8855
Mailing address
1201 FROSTY LN, ANDERSON, IN 46012-9631
(765) 461-5192
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004485A
IN
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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