Individual
MARY JULIAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
10730 NALL AVE, SUITE 203, OVERLAND PARK, KS 66211-1206
(913) 383-8977
(913) 383-3116
Mailing address
10730 NALL AVE, SUITE 203, OVERLAND PARK, KS 66211-1206
(913) 383-8977
(913) 383-3116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1101788
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36661017
BLUE SHIELD
KS
Enumeration date
08/30/2006
Last updated
07/08/2007
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