Individual
BRANDON PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 MAUCHLY STE A, IRVINE, CA 92618-2390
(949) 727-3315
Mailing address
36 MAUCHLY STE A, IRVINE, CA 92618-2390
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3943
CA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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