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Individual

AMBER PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
101 WATERMERE DR, SOUTHLAKE, TX 76092-8116
(817) 437-8668
Mailing address
11877 VIENNA APPLE RD, FORT WORTH, TX 76244-7574
(214) 682-3750

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1142255
TX

Other

Enumeration date
03/14/2014
Last updated
03/14/2014
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