Leticia Peacock

NPI #1154984144 in Yucaipa, California

Provider Information

NPI Number: 1154984144
Entity Type: Individual
Name: Leticia Peacock
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist - Pediatrics
Enumeration Date: Apr 16, 2019
Last Updated: Apr 16, 2019

Practice Location

Address: 34590 COUNTY LINE RD STE 7
City: Yucaipa
State: California
ZIP Code: 92399-5398
Phone: (909) 795-4255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X	Primary

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Organizations

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