Individual
CATHY ANN PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
810 JOE BROOKS DR, JONESBORO, AR 72401-4133
(870) 931-6789
(870) 931-4363
Mailing address
PO BOX 1994, ROLLA, MO 65402-1994
(573) 308-6248
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A603
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659437945
—
AR
Enumeration date
05/25/2010
Last updated
05/25/2010
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