Individual
CLARA ANNETTE PHILLIPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 COOPER RD, PICAYUNE, MS 39466
(769) 242-2772
Mailing address
251 LUMPKIN RD, CARRIERE, MS 39426
(845) 820-0110
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
323871
CO
224Z00000X
Occupational Therapy Assistant
Primary
OTA-4038
—
Other
Enumeration date
03/11/2014
Last updated
01/15/2026
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