Individual
VERNIE PHILLIPS, III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 E SOUTHERN AVE, 310, TEMPE, AZ 85282-5691
(602) 567-9881
Mailing address
1400 E SOUTHERN AVE, 310, TEMPE, AZ 85282-5691
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9129A
AZ
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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