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Contact Information

KELLY A PICKENS, DPT
7341 OFFICE PARK PL STE 102
MELBOURNE, FL32940
 Phone: 321-690-6612
 Fax: 321-690-2630
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KELLY A PICKENS · (Female)

NPI # 1043731797
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 07/03/2017
Last updated 10/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PT31671
  • IN License # 05012541A
  • FL Other PT31671 PT LICENSURE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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