| Doctor Name: | LUCY PICKERILL |
| NPI Number: | 1891110607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OT |
| License Number: | 056010472 |
| Business Practice Address: | 5875 E Riverside Blvd Rockford, IL - 611144937 |
| Business Phone Number: | 8153989491 |
| Business Fax Number: | 8153817498 |
| Mailing Address: | Po Box 78534, MILWAUKEE |
| State: | WI |
| Postal Code: | 532788534 |
| Phone Number: | 8153817431 |
| Fax Number: | 8153817333 |
| NPI Enumeration Date: | 03/03/2014 |
| NPI Last Update Date: | 03/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 056010472 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |