Individual
EMILY ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
305 E LOUGARRE ST, CHURCH POINT, LA 70525-4105
(225) 505-7647
Mailing address
1100 ROBLEY DR APT 7308, LAFAYETTE, LA 70503-5534
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200293
LA
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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