Individual
MISS COREY A PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
95-390 KUAHELANI AVE, 1C, MILILANI, HI 96789-1192
(808) 445-4428
(866) 637-9592
Mailing address
59-520 HOALIKE RD, HALEIWA, HI 96712-9525
(808) 371-5460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT- 418
HI
225X00000X
Occupational Therapist
OT-418
HI
Other
Enumeration date
11/08/2005
Last updated
03/23/2021
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