| Doctor Name: | MRS. REBECCA ANN PEACOCK |
| NPI Number: | 1265653794 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, MPT, ATP |
| License Number: | 1114700 |
| Business Practice Address: | 117 Northern Star Bruceville, TX - 766303282 |
| Business Phone Number: | 2548579961 |
| Business Fax Number: | |
| Mailing Address: | 117 Northern Star, BRUCEVILLE |
| State: | TX |
| Postal Code: | 766303282 |
| Phone Number: | 2548579961 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 03/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251N0400X |
| License Number: | 1114700 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Neurology |
| Taxonomy Definition: | |