Doctor Name: | MS. JUDITH R PECK |
NPI Number: | 1346469335 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT5612 |
Business Practice Address: | 802 Magnolia Ave Suite 107 Corona, CA - 928793104 |
Business Phone Number: | 9513400070 |
Business Fax Number: | 9513409188 |
Mailing Address: | 1230 E Washington St, Suite 2 COLTON |
State: | CA |
Postal Code: | 923246450 |
Phone Number: | 9098256716 |
Fax Number: | 9098254339 |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT5612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |