Individual
CASEY ELIZABETH PEEBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 BOXER LN, FRIES, VA 24330-3673
(276) 237-4913
Mailing address
79 BOXER LN, FRIES, VA 24330-3673
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
421966
VA
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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