Individual
MRS. KIMBERLEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10 SANFORD ST, GLENS FALLS, NY 12801-2931
(518) 793-5653
(518) 793-5770
Mailing address
15 QUADE ST, GLENS FALLS, NY 12801-2724
(518) 792-1212
(518) 743-9057
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005689
NY
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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