NPI 1093516577

Stephen Wallace Peacock

Practitioner Physical Therapy Assistant Savannah, GA

Practice location

Address: 2040 Colonial Dr, Savannah, GA 31406-2226
Phone: (912) 354-2752
Mailing address: 110 Richmond Walk Dr, Richmond Hill, GA 31324-6921

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA003459 (GA)

Other Physical Therapy Assistant providers in Georgia →

Registry record

NPI: 1093516577
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2025
Record last updated: 21 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.