Individual
KYLE PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 HELEN AVE, BRUNSWICK, OH 44212-6265
(440) 552-6417
Mailing address
173 MEADOWCREEK DR UNIT B, WADSWORTH, OH 44281-8886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09424
OH
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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