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Individual
MRS. REBECCA ANN PEACOCK
Active
Individual
MRS. REBECCA ANN PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MPT, ATP
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1114700
TX
2251N0400X
Neurology Physical Therapist
1114700
TX
2251P0200X
Pediatric Physical Therapist
1114700
TX
Other
Enumeration date
05/01/2007
Last updated
06/26/2018
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