Individual
MRS. ALLIE GREEN PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1000 1ST ST E, HUMBLE, TX 77338-4924
(281) 540-2001
(281) 540-2789
Mailing address
1000 1ST ST E, HUMBLE, TX 77338-4924
(281) 540-2001
(281) 540-2789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115243
TX
Other
Enumeration date
02/15/2013
Last updated
07/15/2014
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