Individual
SHERIDAN L PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
405 S 200 W, RICHMOND, UT 84333-1267
(435) 258-5601
Mailing address
1068 S 470 E, PROVIDENCE, UT 84332-9501
(435) 752-3920
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
282835-4201
UT
Other
Enumeration date
01/27/2007
Last updated
07/08/2007
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