Peacock, Alexandria
Peacock, Alexandria is an individual health care provider with primary practice located at 2585 Lafranier Rd , Traverse City MI 49686-8972. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Peacock, Alexandria can be contacted via phone (231) 947-9511.Contact Information
Primary practice address
2585 Lafranier Rd
Traverse City MI 49686-8972
Phone: (231) 947-9511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 5502004219 | Michigan |
Profile Details
| NPI number | 1093115321 |
|---|---|
| LBN Legal business name | Peacock, Alexandria |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2014 |
| Last updated | Aug 22nd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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