Individual provider · Type 1 NPI

Stephen Wallace Peacock

Physical Therapy Assistant · Savannah, GA

NPI number 1093516577 Active

Practice location

2040 Colonial Dr
Savannah, GA 31406-2226

Call (912) 354-2752 Map

Mailing address

110 Richmond Walk Dr
Richmond Hill, GA 31324-6921

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA003459 (GA)

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 1093516577

Stephen Wallace Peacock's National Provider Identifier is 1093516577, issued on Mar 21, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Savannah, GA. The record was last updated on Mar 21, 2025.