Individual
TRISTYN SHAY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5807 E 122ND DR, THORNTON, CO 80602-9622
(307) 251-3349
Mailing address
5807 E 122ND DR, BRIGHTON, CO 80602-9622
(307) 251-3349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
456025
CO
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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