Individual
MRS. MELANIE DAWN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1101 BLACK OAK DR, NEW BRIGHTON, MN 55112-8400
(651) 288-5246
Mailing address
30610 ELM ST, LINDSTROM, MN 55045-9306
(651) 213-6187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102852
MN
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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