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Individual

AMBER MARIE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.P.T.

Contact information

Practice address
3652 PORTAGE ST, PORTAGE, PA 15946-6544
(814) 736-9600
(814) 266-3407
Mailing address
430 INNOVATION DRIVE, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015851
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001595295
HIGHMARK BLUE SHIELD
PA
01
237489
HEALTH AMER/HEALTH ASSUR.
PA
01
7289698
AETNA
PA
Enumeration date
10/18/2006
Last updated
01/14/2015
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