Individual
MR. JASON JEREMY PEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N WESTFIELD ST, VISALIA, CA 93291-4203
(602) 388-7461
Mailing address
400 N WESTFIELD ST, VISALIA, CA 93291-4203
(602) 388-7461
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
48704
CA
225200000X
Physical Therapy Assistant
Primary
PTA48704
CA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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