Peck, Judith R

Peck, Judith R is an individual health care provider with primary practice located at 802 Magnolia Ave Suite 107, Corona CA 92879-3104. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Peck, Judith R can be contacted via phone (951) 340-0070.

Contact Information

Primary practice address
802 Magnolia Ave Suite 107 Corona CA 92879-3104
Phone: (951) 340-0070
Fax: (951) 340-9188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5612 California

Profile Details

NPI number 1346469335
LBN Legal business name Peck, Judith R
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Jul 8th, 2007 - about 17 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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