Karen A Peck, CTRS, CLC, CST, QST
Recreation Therapist in South Windsor, Connecticut
1073017372- Practice location
- 469 Buckland RD Ste 102, South Windsor, CT 06074-3737
- Phone
- 860-432-9923
- Fax
- —
- Last updated
- March 21, 2018
Karen Ann Peck is a Recreation Therapist based in South Windsor, CT. Karen Ann Peck practices in South Windsor, CT and has the professional credentials of CTRS, CLC, CST, QST. The NPI Number for Karen Ann Peck is 1073017372 and holds a License No. 12771 (CT). The current practice location address for Karen Ann Peck is 469 Buckland RD Ste 102, South Windsor, CT 06074-3737 and can be reached out via phone at 860-432-9923.
Provider Profile Details
- NPI Number
- 1073017372
- Provider Name
- Karen Ann Peck
- Credential
- CTRS, CLC, CST, QST
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 469 Buckland RD Ste 102, South Windsor, CT 06074-3737
- Phone Number
- 860-432-9923
- Primary Taxonomy
- Recreation Therapist · 225800000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 21, 2018
- Last Update Date
- March 21, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 469 Buckland RD Ste 102
South Windsor, CT 06074-3737 - City
- South Windsor
- State
- Connecticut
- Zip
- 06074-3737
- Phone Number
- 860-432-9923
Provider Business Mailing Address Details
- Address
- 469 Buckland RD Ste 102
South Windsor, CT 06074-3737 - City
- South Windsor
- State
- CT
- Zip
- 06074-3737
- Phone Number
- 860-432-9923
License Information
- License Number
- 12771
- License State
- CT
- Taxonomy
- Recreation Therapist · 225800000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Karen A Peck, CTRS, CLC, CST, QST?
The NPI number of Karen A Peck, CTRS, CLC, CST, QST is 1073017372. It was assigned on March 21, 2018 and is currently active in the NPPES registry.
What is the specialty of Karen A Peck, CTRS, CLC, CST, QST?
Karen A Peck, CTRS, CLC, CST, QST is registered under the primary taxonomy Recreation Therapist (code 225800000X), licensed in CT under license number 12771.
Where does Karen A Peck, CTRS, CLC, CST, QST practice?
The practice location is 469 Buckland RD Ste 102, South Windsor, CT 06074-3737. The office can be reached at 860-432-9923 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073017372 directly on the NPPES registry website.