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Individual

PHYLLIS M DILUIGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
22423 US HIGHWAY 72, SUITE B, ATHENS, AL 35613-2662
(256) 232-1221
(256) 232-1231
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0517
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003819608
GROUP NPI
AL
05
529917620
AL
Enumeration date
05/27/2006
Last updated
03/31/2009
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