Individual
MRS. AMANDA BROOKE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 HIGHWAY 3283, MONTICELLO, KY 42633-9186
(606) 348-9353
Mailing address
305 HIGHWAY 3283, MONTICELLO, KY 42633-9186
(606) 348-9353
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
07/13/2010
Last updated
08/16/2010
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