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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHYLLIS LYNNE PENDERGRAST, COTA

Active

PHYLLIS LYNNE PENDERGRAST, COTA is a Occupational Therapy Assistant healthcare provider located in FORT COLLINS, Colorado. NPI 1942941000 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · FORT COLLINS, CO

Registration Details

NPI Number
1942941000
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2022 (4.3747475727158 yrs)
Last Updated
Apr 5, 2022
License
OTA.0001071 (CO)

Practice Information

Address
2201 S LEMAY AVE
FORT COLLINS, CO, 805251900
Browse CO providers · Browse ZIP 80525
Phone
8889669435
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in FORT COLLINS, CO

Name Credential NPI
LAURIE DALE COTA 1508043357
MARY LEONARD 1295908838
CHRISTOPHER MICHAEL MAGUIRE COTA 1174787980
LISA PINET LAFEHR COTA 1376873026
MATTHIAS HALLER COTA/L 1467797118
MARIA F GALLUCCI C.O.T.A. 1477898971
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.