ALEXANDRIA PEACOCK

TRAVERSE CITY, MI
NPI1093115321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MI  5502004219)
Enumeration Date2014-08-22
Last Update Date2014-08-22
Business Address
Mrs. ALEXANDRIA PEACOCK PTA
2585 LAFRANIER RD
TRAVERSE CITY, MI 49686-8972
Phone number: 231-947-9511
Mailing Address
Mrs. ALEXANDRIA PEACOCK PTA
5575 M 72 NW
WILLIAMSBURG, MI 49690-9611
Phone number: 248-417-6236