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Individual
TERRY PHILLIPS JR.
Active
Individual
TERRY PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225100000X
Physical Therapist
Primary
070.023344
IL
Other
Enumeration date
04/17/2015
Last updated
01/22/2021
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