Individual
TRACY PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 6TH ST SE, SUITE B, WINTER HAVEN, FL 33880-4605
(863) 294-0350
(863) 294-0381
Mailing address
1601 6TH ST SE, SUITE B, WINTER HAVEN, FL 33880-4605
(863) 294-0350
(863) 294-0381
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA 18417
FL
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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