Individual
PEGGI M HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2114 E FAIRVIEW AVE, JOHNSON CITY, TN 37601
(423) 928-6464
(423) 232-7970
Mailing address
PO BOX 191, JOHNSON CITY, TN 37605
(423) 928-6464
(423) 232-7970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4158
TN
225XP0200X
Pediatric Occupational Therapist
4158
TN
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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