Individual
MRS. COLLEEN ANN PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
41 6TH AVE, GREENVILLE, PA 16125-9723
(724) 588-3330
(724) 588-1338
Mailing address
41 6TH AVE, GREENVILLE, PA 16125-9723
(724) 588-3330
(724) 588-1338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE004068L
PA
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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