Individual
MS. CARMA LOUISE PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
535 W ELDORADO ST, DECATUR, IL 62522-2117
(217) 462-0355
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070010450
IL
Other
Enumeration date
08/07/2024
Last updated
11/07/2024
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