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Individual

RYAN PICKERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1201 CLEARVIEW PKWY, METAIRIE, LA 70001-3419
(504) 736-4800
Mailing address
3106 UPPERLINE ST, NEW ORLEANS, LA 70125-5043
(561) 202-4732

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
10/08/2015
Last updated
10/08/2015
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