Individual
CHARLOTTE PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2270 TRAVERSE DR, TROY, MI 48083-5949
(714) 473-3226
Mailing address
2270 TRAVERSE DR, TROY, MI 48083-5949
(714) 473-3226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010113
MI
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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