Sara Peacock Valid NPI
Individual provider · Physical Therapy Assistant · Newport Beach, CA
- NPI
- 1124491022
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225200000X
- License number
- AT11141 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-11-02
- Last updated
- 2015-11-02
Practice location
15 Corporate Plaza Dr Ste 130
Newport Beach, CA 92660-7940
(949) 759-1840