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Individual
RICK K PEASLEE
Active
Individual
RICK K PEASLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.004871
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
341972661
TAX ID
OH
01
—
AT-001999
ATHLETIC TRAINER
OH
Enumeration date
05/27/2005
Last updated
07/08/2016
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