Individual
JEANNE PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6455 PEARL RD, PARMA HEIGHTS, OH 44130-2984
(440) 888-5900
Mailing address
637 TREESIDE LN, AVON LAKE, OH 44012-2751
(216) 337-5860
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001733
OH
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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