Individual
DIANE PEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4909 GLASMANN WAY, SOUTH OGDEN, UT 84403-4782
(801) 644-4212
Mailing address
4909 GLASMANN WAY, SOUTH OGDEN, UT 84403-4782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4953490-4201
UT
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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