Individual
SHERRY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17422 JEPSEN CIR, HUNTINGTON BEACH, CA 92647-5622
(949) 215-5008
(949) 215-4281
Mailing address
17422 JEPSEN CIR, HUNTINGTON BEACH, CA 92647-5622
(949) 215-5008
(949) 215-4281
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT5300
CA
225XN1300X
Neurorehabilitation Occupational Therapist
OT5300
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT5300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT5300
LICENSE
CA
Enumeration date
05/07/2015
Last updated
05/07/2015
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