Nicole Peckham, MSPT

NPI #1336337773 in Lindenhurst, New York

Provider Information

NPI Number: 1336337773
Entity Type: Individual
Name: Nicole Peckham, MSPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MSPT
Enumeration Date: Oct 10, 2007
Last Updated: Jun 24, 2009

Practice Location

Address: 887 KELLUM ST
City: Lindenhurst
State: New York
ZIP Code: 11757-1508
Phone: (631) 884-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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