Most Relevant Information
Provider Data
| NPI Number: | 1003013251 |
| Provider Name: | PEGGY SUE PEROCK PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT9290 |
Most Important Dates
| Enumeration Date: | 06/29/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
335 N LA BREA STREET
BOB HOPE MEDICAL CLINIC
LOS ANGELES
CA
90036
Practice Location Phone/Fax
| Phone: | 3236343826 |
| Fax: | 3239389958 |
Provider Mailing Location
15248 DICKENS STREET
UNIT 108
SHERMAN OAKS
CA
91403
Provider Mailing Phone/Fax
| Phone: | 8189060603 |
| Fax: |