Individual
MRS. LEILA FORTENBERRY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
211 ANA DR, FLORENCE, AL 35630-1768
(256) 766-8963
Mailing address
96 COLONIAL DR, FLORENCE, AL 35633-1444
(601) 549-4209
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6608
AL
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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