# PHILLIPS THERAPY INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891025656
- **Authorized official:** HEATHER ANN HORA MSOTR/L (OCCUPATIONAL THERAPIST/PRESIDENT)
- **Authorized official phone:** (208) 705-7868

## Contact information

- **Practice address:** 73 NORTH MAIN ST.,, SUITE 3, VICTOR, ID 83455
- **Practice address phone:** (208) 705-7868
- **Practice address fax:** (208) 787-0946
- **Mailing address:** 729 PINE MOUNTAIN VIEW DRIVE, PO BOX 761, VICTOR, ID 83455
- **Mailing address phone:** (208) 705-7868
- **Mailing address fax:** (208) 787-0946

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | OT-528 | ID | Yes |

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 02/03/2010
