Pendergast, Carolyn E

Pendergast, Carolyn E is an individual health care provider with primary practice located at 7750 Dannaher Dr , Powell TN 37849-4039. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Pendergast, Carolyn E can be contacted via phone (865) 512-1140.

Contact Information

Primary practice address
7750 Dannaher Dr Powell TN 37849-4039
Phone: (865) 512-1140
Fax: (865) 512-1141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2468 Tennessee

Profile Details

NPI number 1497909428
LBN Legal business name Pendergast, Carolyn E
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2008
Last updated Jun 2nd, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497909428 NPPES
Tennessee Other 4211295 BLUECROSS BLUESHIELD
Tennessee MEDICAID 1510678 BLUECROSS BLUESHIELD
Tennessee Other P00746470 BLUECROSS BLUESHIELD

Popular Providers