Individual
HOLLY RAE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W HIGH ST, WOODBURY, TN 37190-1226
(615) 563-5939
Mailing address
1031 ROACH HOLLOW RD, WOODBURY, TN 37190-5257
(931) 314-3631
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3728
TN
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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