Individual
MICHELLE M PEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1140 W CAPITOL AVE, BISMARCK, ND 58501
(701) 450-1900
(701) 847-7417
Mailing address
601 BROWNING AVE, BISMARCK, ND 58503-1009
(701) 425-9525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1063
ND
225XP0019X
Physical Rehabilitation Occupational Therapist
1063
ND
Other
Enumeration date
01/21/2008
Last updated
08/01/2020
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