Individual
BRETT PEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 S MEADOW ST, AVISTON, IL 62216-3472
(618) 772-8847
Mailing address
102 S MEADOW ST, AVISTON, IL 62216-3472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006786
IL
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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