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Individual
MRS. CARA M PHILLIPS
Active
Individual
MRS. CARA M PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT09725
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000610042
ANTHEM
OH
05
—
2987095
—
OH
01
—
530926
WELLCARE
OH
Enumeration date
01/18/2006
Last updated
10/02/2012
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