| NPI | 1477614378 |
|---|---|
| Former Name | PENNY E PICKELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics (Licence: FL PT 24039) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT007503) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2013-05-22 |