| NPI | 1992420863 |
|---|---|
| Former Name | SHELBY DAWN PICKENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX CP025866T) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2025-02-20 |