Individual
KATIE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
800 N WATTERS RD STE 150, ALLEN, TX 75013-5395
(469) 675-3153
(469) 675-3154
Mailing address
800 N WATTERS RD STE 150, ALLEN, TX 75013-5395
(469) 675-3153
(469) 675-3154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114614
TX
225XP0200X
Pediatric Occupational Therapist
Primary
114614
TX
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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