IndividualActive
Gregory Peck, LPTA
NPI 1396095642 · Mechanotherapist · Fontana, CA
Provider details
- NPI number
- 1396095642
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- LPTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2266 (CA)
Specialties & taxonomies
Other Service Providers
Practice location
9017 Buckeye Dr
Fontana, CA 92335-6007
Phone: (951) 203-9017
Approximate (ZIP-level) locationGet directions
Mailing address
9017 Buckeye Dr
Fontana, CA 92335-6007
Registry dates
- Enumerated
- 2012-09-13
- Last updated
- 2012-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.