Organization
PEAK PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA M LECURGO (BUSINESS ADMINISTRATOR)
(419) 699-4189
Entity
Organization
Contact information
Practice address
108 E MAIN ST STE B, WOODVILLE, OH 43469-1209
(419) 849-2900
(419) 849-2901
Mailing address
108 E MAIN ST STE B, WOODVILLE, OH 43469-1209
(419) 849-2900
(419) 849-2901
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT-05091
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296565972-009
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
09/21/2006
Last updated
08/22/2020
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