Provider Demographics
NPI:1215048012
Name:POSEY, PEGGY RICE (PT)
Entity type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:RICE
Last Name:POSEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:PEGGY
Other - Middle Name:LEE
Other - Last Name:RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1388 PROGRESS WAY
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6463
Mailing Address - Country:US
Mailing Address - Phone:410-552-9996
Mailing Address - Fax:410-552-9985
Practice Address - Street 1:1388 PROGRESS WAY
Practice Address - Street 2:
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6463
Practice Address - Country:US
Practice Address - Phone:410-552-9996
Practice Address - Fax:410-552-9985
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD812314OtherEHP
MD812314OtherEHP