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Individual

MRS. CARMELLE DOROTHY PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
328 LIBERTY AVE, JERSEY CITY, NJ 07307-4428
(917) 294-6002
Mailing address
328 LIBERTY AVE, JERSEY CITY, NJ 07307-4428
(917) 294-6002

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00366600
NJ

Other

Enumeration date
09/15/2007
Last updated
07/12/2022
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