Jack D. Peak

NPI 1043594013 - Physical Therapist - 225100000X

NPI Details
NPI 1043594013
Gender Male
Enumeration Date 10/07/2011
Last Updated 10/07/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
11665 LAUREL AVE
LOMA LINDA CA, 92354-6721, US
Phone (909) 838-2679
Fax
Business Location
11665 LAUREL AVE
LOMA LINDA CA, 92354-6721, US
Phone (909) 838-2679
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 5824
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According to our database, Mr. Jack D. Peak NPI is 1043594013, taxonomy code is 225100000X and license number is 5824, license state is located at California. Jack D. Peak physically located at 11665 Laurel Ave, Loma Linda CA, 92354-6721. NPI Number Jack D. Peak has the Individual type.

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1043594013 NPI number is provided on an as is basis without warranty of any kind. 1043594013 is maintained by the National Plan & Provider Enumeration System. The contents of Jack D. Peak are for informational purposes only.