Doctor Name: | JAMES WILFRED PICARD |
NPI Number: | 1063824548 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 2305208742 |
Business Practice Address: | 5300 Hickory Park Dr Suite 110 Glen Allen, VA - 230592629 |
Business Phone Number: | 8042707754 |
Business Fax Number: | 8042707756 |
Mailing Address: | 1305 Skipwith Rd, RICHMOND |
State: | VA |
Postal Code: | 232295948 |
Phone Number: | 8045176456 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2014 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 2305208742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |