Individual
ROBERT ALAN PEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
261 NORTH ST, BRISTOL, TN 37620-1635
(426) 968-3194
Mailing address
4523 TIMBERLAKE LN, KINGSPORT, TN 37664-2163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000002799
TN
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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