Doctor Name: | MRS. MIRIAM LYNN PEKAREK |
NPI Number: | 1790087815 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 003920 |
Business Practice Address: | 36855 Ridge Rd Willoughby, OH - 440944128 |
Business Phone Number: | 4409424365 |
Business Fax Number: | 4409548379 |
Mailing Address: | 36855 Ridge Rd, WILLOUGHBY |
State: | OH |
Postal Code: | 440944128 |
Phone Number: | 4409424358 |
Fax Number: | 4409548379 |
NPI Enumeration Date: | 11/22/2010 |
NPI Last Update Date: | 08/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 003920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |