Individual
MRS. PEGGY RICHARDSON BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
401 INDIANA AVE, MAYFIELD, KY 42066-1799
(270) 247-0200
(270) 247-6409
Mailing address
401 INDIANA AVE, MAYFIELD, KY 42066-1799
(270) 247-0200
(270) 247-6409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000477
KY
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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