Individual provider · Type 1 NPI

Brandon Lee Peck, PTA

Physical Therapy Assistant · San Antonio, TX

NPI number 1093497471 Active

Practice location

630 W Woodlawn Ave
San Antonio, TX 78212-3348

Call (210) 736-3177 Map

Mailing address

9861 Victoria Ln
Boerne, TX 78006-5140

Specialties and licenses

Taxonomy	Code	License
Physical Therapy Assistant Primary	225200000X	2177205 (TX)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1093497471

Brandon Lee Peck, PTA's National Provider Identifier is 1093497471, issued on Aug 3, 2023. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in San Antonio, TX. The record was last updated on Aug 3, 2023.