Kelly Denice Peacock, COTA

NPI #1427320274 in New Harmony, Indiana

Provider Information

NPI Number
1427320274
Entity Type
Individual
Name
Kelly Denice Peacock, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Feb 8, 2012
Last Updated
Feb 8, 2012

Practice Location

Address
251 HIGHWAY 66
State
Indiana
ZIP Code
47631-9075
Phone
(812) 682-4104

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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