Individual
MRS. JENNIFER KRISTIN PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
15600 SAN PEDRO AVE STE 307, SAN ANTONIO, TX 78232-3739
(800) 437-7560
Mailing address
546 LINDLY ST, GRAND PRAIRIE, TX 75052-3414
(972) 266-2201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108791
TX
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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