Individual
DAVID JAMES PICKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, DPT
Contact information
Practice address
6 ROCKWOOD DRIVE, SUITE #2, MANCHESTER, ME 04351-0552
(207) 626-3333
(207) 626-3334
Mailing address
6 ROCKWOOD DRIVE, SUITE #2, MANCHESTER, ME 04351-0552
(207) 626-3333
(207) 626-3334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2548
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060722
BLUE CROSS & BLUE SHIELD
ME
05
—
162260000
—
ME
Enumeration date
02/27/2008
Last updated
10/02/2013
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