Provider Demographics
NPI:1710522412
Name:PEEK, LLOYD GRAYLEN JR (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:GRAYLEN
Last Name:PEEK
Suffix:JR
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3104 DAUPHIN SQ CONN
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-2513
Mailing Address - Country:US
Mailing Address - Phone:251-509-2699
Mailing Address - Fax:
Practice Address - Street 1:3104 DAUPHIN SQ CONN
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-2513
Practice Address - Country:US
Practice Address - Phone:514-502-8002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-17
Last Update Date:2019-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4933225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist