Individual
CASSANDRA GALE PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 WAYNE DR, LYNCHBURG, VA 24502-4445
(443) 852-9425
Mailing address
225 WAYNE DR, LYNCHBURG, VA 24502-4445
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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