Individual
MS. JULIE ELLEN PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1300 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 378-9968
(804) 378-8870
Mailing address
705 N HAMILTON ST APT K, RICHMOND, VA 23221-2017
(804) 355-3848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204712
VA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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