Pendergrast, Phyllis Lynne
Pendergrast, Phyllis Lynne is an individual health care provider with primary practice located at 2201 S Lemay Ave , Fort Collins CO 80525-1900. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Pendergrast, Phyllis Lynne can be contacted via phone (888) 966-9435.Contact Information
Primary practice address
2201 S Lemay Ave
Fort Collins CO 80525-1900
Phone: (888) 966-9435
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant | 224Z00000X | OTA.0001071 | Colorado |
Profile Details
| NPI number | 1942941000 |
|---|---|
| LBN Legal business name | Pendergrast, Phyllis Lynne |
| Credentials | Certified Occupational Therapy Assistant (COTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2022 |
| Last updated | Apr 5th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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