| NPI | 1821206186 |
|---|---|
| Other Name | PEGGY ELAINE BROACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: WA 0C00000493) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA00013808) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2025-09-11 |