National Provider Identifier
Jeffery Peacock, OTR/L
Jeffery Peacock, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Newark, NY and a listed phone number of (315) 332-7315.
Profile Overview
- NPI
- 1356881932
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- March 02, 2017
- Last Updated
- August 30, 2023
Practice Location
- 131 Drumlin Ct
- Newark, NY 14513-1863
Phone: (315) 332-7315
Mailing Address
- 28 Main St
- Bloomfield, NY 14469-9231
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1356881932
- Entity Type
- Individual
- Last Name
- Peacock
- First Name
- Jeffery
- Credential
- OTR/L
- Mailing Street Address
- 28 Main St
- Mailing City
- Bloomfield
- Mailing State
- NY
- Mailing ZIP Code
- 14469-9231
- Mailing Country
- US
- Mailing Phone
- (585) 410-8968
- Practice Street Address
- 131 Drumlin Ct
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1863
- Practice Country
- US
- Practice Phone
- (315) 332-7315
- Enumeration Date
- March 02, 2017
- Last Updated
- August 30, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 30, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)