Individual
MRS. VICKI SU PICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
10016 VILLAGE GREEN DR, SHREVEPORT, LA 71115-2814
(318) 426-2416
(318) 798-2765
Mailing address
10016 VILLAGE GREEN DR, SHREVEPORT, LA 71115-2814
(318) 426-2416
(318) 798-2765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01843
LA
Other
Enumeration date
03/21/2007
Last updated
09/20/2016
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