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Kelly Peck, MPT
Pediatric Physical Therapist in Los Angeles, California
NPI 1316189566

Kelly Peck is a Pediatric Physical Therapist based in Valencia, CA and is specialized in Pediatrics. Kelly Peck practices in Los Angeles, CA and has the professional credentials of MPT. The NPI Number for Kelly Peck is 1316189566 and holds a License No. PT22097 (California).

The current practice location address for Kelly Peck is 1835 S Sepulveda Blvd, Los Angeles, CA and can be reached out via phone at 310-478-6222 and via fax at 310-478-6696.

Location: 1835 S Sepulveda Blvd, Los Angeles, CA, 91381-0623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316189566
Provider Name
Kelly Peck
Credential
MPT
Provider Entity Type
Individual
Gender
Female
Address
1835 S Sepulveda Blvd, Los Angeles, CA, 91381-0623
Phone Number
310-478-6222
Fax Number
310-478-6696
Provider Enumeration Date
04/02/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT22097 01 CA CA PHYSICAL THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
1835 S Sepulveda Blvd
City
Los Angeles
State
California
Zip
90025-4313
Phone Number
310-478-6222
Fax Number
310-478-6696
person
Provider Business Mailing Address Details
Address
1835 S Sepulveda Blvd
City
Los Angeles
State
California
Zip
90025-4313
Phone Number
310-478-6222
Fax Number
310-478-6696
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
PT22097 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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