Most Relevant Information
Provider Data
| NPI Number: | 1003070335 |
| Provider Name: | CATHY EILEEN PECK |
| Entity Type: | Individual |
| Taxonomy Code: | 172M00000X |
| Specialty: | Mechanotherapist |
| License Number: | MA38265 |
Most Important Dates
| Enumeration Date: | 07/16/2008 |
| Last Updated: | 07/16/2008 |
Provider Practice Location
45 COQUINA AVE
ST AUGUSTINE
FL
320804528
Practice Location Phone/Fax
| Phone: | 9045014458 |
| Fax: |
Provider Mailing Location
45 COQUINA AVENUE
ST. AUGUSTINE
FL
320804528
Provider Mailing Phone/Fax
| Phone: | 9045014458 |
| Fax: |