Individual
ABBY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 LIMA LN, FORT WAYNE, IN 46818-2123
(616) 283-3029
Mailing address
2211 LIMA LN, FORT WAYNE, IN 46818-2123
(616) 283-3029
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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