Mark Peckham
Mark Peckham is a Physical Therapy Assistant in Fremont, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
2296 Country DrFremont, CA 94536-5315
Phone: (510) 608-3733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 2445 (CA) |
|---|
Record details
| NPI number | 1932342219 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 15, 2009 |
| Last updated in NPPES | April 15, 2009 |
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