Peavy, Tami

Peavy, Tami is an individual health care provider with primary practice located at 320 W Valley Blvd , Alhambra CA 91803-3338. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Peavy, Tami can be contacted via phone (706) 306-3641.

Contact Information

Primary practice address
320 W Valley Blvd Alhambra CA 91803-3338
Phone: (706) 306-3641
Fax: (818) 861-7348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 7347 Georgia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 33736 California

Profile Details

NPI number 1871597286
LBN Legal business name Peavy, Tami
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 22nd, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871597286 NPPES
Georgia MEDICAID 000937329D

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