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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SONRIE GERVACIO PICKENS, PT, DPT, ECS

Active

SONRIE GERVACIO PICKENS, PT, DPT, ECS is a Physical Therapy Assistant healthcare provider located in JBSA-LACKLAND, Texas. NPI 1629203880 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JBSA-LACKLAND, TX

Registration Details

NPI Number
1629203880
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2009 (17.246510579863 yrs)
Last Updated
Apr 1, 2025
Licenses
1188926 (TX)
1188926 (TX)

Practice Information

Address
1100 WILLFORD HALL LOOP
BLDG 4554
JBSA-LACKLAND, TX, 78236
Browse TX providers · Browse ZIP 78236
Phone
2102920303
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
2251E1300X
Additional Specialty
Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.