Healthcare Provider Details

I. General information

NPI: 1881510204
Provider Name (Legal Business Name): PEAK THERAPY SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21750 N KENNEFICK RD
ACAMPO CA
95220-9241
US

IV. Provider business mailing address

21750 N KENNEFICK RD
ACAMPO CA
95220-9241
US

V. Phone/Fax

Practice location:
  • Phone: 209-625-9883
  • Fax:
Mailing address:
  • Phone: 209-625-9883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MONICA WUTZKE
Title or Position: CEO
Credential: OTD, OTR/L
Phone: 909-270-0492