Individual
MICHAEL PATRICK PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
520 E TULARE AVE, VISALIA, CA 93292-3629
(559) 623-0900
Mailing address
520 E TULARE AVE, TULARE, CA 93274-4221
(559) 600-9180
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34111
CA
Other
Enumeration date
09/02/2009
Last updated
11/12/2024
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