Peterson, Phyllis Lee

Peterson, Phyllis Lee is an individual health care provider with primary practice located at 3112 N Ocoee St , Cleveland TN 37312. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Peterson, Phyllis Lee can be contacted via phone (423) 559-1537.

Contact Information

Primary practice address
3112 N Ocoee St Cleveland TN 37312
Phone: (423) 559-1537
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2590 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 2251H1200X

Profile Details

NPI number 1629157508
LBN Legal business name Peterson, Phyllis Lee
Credentials PT CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Sep 14th, 2015 - about 10 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 1629157508 NPPES
Tennessee Other 0202418 BCBS OF TN

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