Individual
KATHRYN CECELIA PHILLIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 RESEARCH CT STE 450, SUWANEE, GA 30024-6660
(309) 825-6999
Mailing address
5000 RESEARCH CT STE 450, SUWANEE, GA 30024-6660
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009016
GA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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