Individual
EMILY PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 LAND STONE CIR, IRMO, SC 29063-9260
(803) 931-6388
Mailing address
104 LAND STONE CIR, IRMO, SC 29063-9260
(803) 931-6388
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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