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Individual

CASEY PICKARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1111 N WHATLEY RD, WHITE OAK, TX 75693-3101
(903) 399-5779
Mailing address
1111 N WHATLEY RD, WHITE OAK, TX 75693-3101
(903) 399-5779

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2066521
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2066521
PHYSICAL THERAPIST ASSISTANT LICENSE
TX
Enumeration date
04/26/2018
Last updated
04/26/2018
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