Individual
MS. LARISSA ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15 RESEARCH DR, UNIT 1, WOODBRIDGE, CT 06525-2356
(203) 387-1401
Mailing address
PO BOX 3568, WOODBRIDGE, CT 06525-0141
(203) 387-1401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003970
CT
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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