Individual provider · Type 1 NPI

Alisa Peacock

Rehabilitation Practitioner · Commerce, CA

NPI number 1366688673 Active

Practice location

6055 E Washington Blvd
Commerce, CA 90040-2449

Mailing address

11515 Firestone Blvd
Norwalk, CA 90650-2804

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1366688673

Alisa Peacock's National Provider Identifier is 1366688673, issued on Dec 17, 2008. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Commerce, CA. The record was last updated on Dec 17, 2008.