Individual
CATHY EILEEN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 COQUINA AVE, ST AUGUSTINE, FL 32080-4528
(904) 501-4458
Mailing address
45 COQUINA AVENUE, ST. AUGUSTINE, FL 32080-4528
(904) 501-4458
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA38265
FL
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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