Individual
CHRIS PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
4016 E BEACH DR, OAK ISLAND, NC 28465
(910) 200-3805
Mailing address
4016 E BEACH DR, OAK ISLAND, NC 28465-5515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3392
SC
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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