Individual
MYA ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4187
(800) 283-2881
Mailing address
2010 HIGHWAY 64, NEW RICHMOND, WI 54017-7601
(515) 422-3933
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7259-27
WI
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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