Nicole Peckham MSPT

NPI 1336337773 - Physical Therapist - 225100000X

NPI Details
NPI 1336337773
Gender Female
Enumeration Date 10/10/2007
Last Updated 06/24/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
887 KELLUM ST
LINDENHURST NY, 11757-1508, US
Phone (631) 884-3000
Fax
Business Location
69 PENN ST
PORT JEFFERSON STATION NY, 11776-3727, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State New York
License Number 026954
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According to our database, Nicole Peckham MSPT NPI is 1336337773, taxonomy code is 225100000X and license number is 026954, license state is located at New York. Nicole Peckham MSPT physically located at 887 Kellum St, Lindenhurst NY, 11757-1508. NPI Number Nicole Peckham MSPT has the Individual type.

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1336337773 NPI number is provided on an as is basis without warranty of any kind. 1336337773 is maintained by the National Plan & Provider Enumeration System. The contents of Nicole Peckham MSPT are for informational purposes only.