| NPI | 1275882508 |
|---|---|
| Former Name | HANNAH LEONE PECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH6584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 9320) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2022-04-19 |