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:
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Health care specialties

SpecialtyCodeLicense #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 4 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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