Search › Ohio › 164W00000X
Imogene Peavy
NPI 1194847632 · on the registry since 2007 · sole proprietor
Practice
- Address
- 849 N Euclid Ave
Dayton, OH 45402 - Phone
- (937) 278-2870
- Fax
- (937) 278-2870
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio