Peck, Cathy Ann

Peck, Cathy Ann is an sole proprietor health care provider with primary practice located at 810 Joe Brooks Dr , Jonesboro AR 72401-4133. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Peck, Cathy Ann can be contacted via phone (870) 931-6789.

Contact Information

Primary practice address
810 Joe Brooks Dr Jonesboro AR 72401-4133
Phone: (870) 931-6789
Fax: (870) 931-4363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X OT-A603 Arkansas

Profile Details

NPI number 1255650628
LBN Legal business name Peck, Cathy Ann
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2010
Last updated May 25th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255650628 NPPES
Arkansas MEDICAID 1659437945

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