Doctor Name: | PEGGY JEANINE BOINEAU |
NPI Number: | 1598981458 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 108070 |
Business Practice Address: | 305 N Mckinney St Sweeny, TX - 774802801 |
Business Phone Number: | 9797989190 |
Business Fax Number: | |
Mailing Address: | 305 Freeman Blvd, WEST COLUMBIA |
State: | TX |
Postal Code: | 774869667 |
Phone Number: | 9793456313 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 108070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |