Individual
MOLLY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
(715) 847-2826
Mailing address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8619
WI
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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