| NPI | 1427274869 |
|---|---|
| Former Name | AMY BROOKE PEACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: CA 27397) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 27397) |
| 2251S0007X Physical Therapist Sports (Licence: CA 27397) | |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: CO CERT # 099402403) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-07-15 |