Individual
JESSICA PICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
130 N GROSS RD STE 125, KINGSLAND, GA 31548-6263
(912) 342-8875
(912) 342-8016
Mailing address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 342-8875
(912) 342-8016
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT007910
GA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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