Individual
STEPHANIE A PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
109 KNOTBREAK RD, SALEM, VA 24153-5404
(540) 772-8022
(540) 772-0294
Mailing address
1327 GRANDIN RD SW # 243, ROANOKE, VA 24015-2349
(202) 744-1185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007502
VA
Other
Enumeration date
11/10/2017
Last updated
12/09/2021
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