Phyllis Lee Peterson
Physical Therapist Hand
3112 N Ocoee St
Cleveland
, Tennessee 37312
Phyllis Lee Peterson
Physical Therapist Hand
3112 N Ocoee St
Cleveland
, Tennessee 37312
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About
Features
Specialties
- Physical Therapist
- Hand
Languages spoken
- English
Location
First Address
- Phyllis Lee Peterson
- 790 Remington Blvd
- Bolingbrook, IL
- Zip : 60440-4909
- Phone :
Second Address
- Phyllis Lee Peterson
- 3112 N Ocoee St
- Cleveland, TN
- Zip : 37312
- Phone : (423) 559-1537
Reviews
FAQs
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Is Phyllis Lee Peterson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2590 | TN |
| N | 2251H1200X | Hand |
National Provider Identifier
| NPI | 1629157508 |
|---|---|
| Provider Name | Phyllis Lee Peterson |
| First Address | Bolingbrook, IL 60440-4909 |
| Second Address | Cleveland, TN 37312 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2006 |
| Last Update Date | 14/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0202418 | BCBS OF TN (01) | TN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.