Nicholas Tyler Peacock, L/COTA
Nicholas Tyler Peacock, L/COTA is an Occupational Therapy Assistant in Champaign, Illinois. Licensed in Illinois. Registered with an NPI since 2021.
- Licensed in
- IL
- In the registry since
- 2021
Practice location Address checks out
3001 Cherry Hills DrChampaign, IL 61822-7586
Phone: (217) 721-7799
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 057.005500 (IL) |
|---|
Record details
| NPI number | 1316528797 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | L/COTA |
| Sole proprietor | No |
| NPI enumerated | April 18, 2021 |
| Last updated in NPPES | April 18, 2021 |
| Certification date | April 18, 2021 |
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