Miriam J Peace, PT

NPI #1912101106 in Kent, Washington

Provider Information

NPI Number: 1912101106
Entity Type: Individual
Name: Miriam J Peace, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Jun 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10811 SE KENT KANGLEY RD
City: Kent
State: Washington
ZIP Code: 98030-7108
Phone: (253) 854-5660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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