Individual
DAWN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
215 W LOCUST ST, FAIRBURY, IL 61739-1550
(815) 692-3941
Mailing address
706 IAA DR APT 5, BLOOMINGTON, IL 61701-2265
(309) 453-7542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-014912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070-014912
IL LICENSE NO
IL
Enumeration date
05/05/2006
Last updated
11/25/2008
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