Mica Peacock, DPT Valid NPI

Individual provider · Physical Therapist · San Rafael, CA

NPI

1538831979

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT300982 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2021-10-04

Last updated

2022-10-01