Individual
LATITIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1448 HOUSTON ST, WILLS POINT, TX 75169-3120
(903) 873-5400
Mailing address
342 CHAPEL HILL DR, FORNEY, TX 75126-3797
(903) 407-0908
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211962
TX
Other
Enumeration date
12/11/2013
Last updated
04/11/2025
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