Individual
CAROL ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 VINE ST, SA 4 NAVIGATION TEAM, LOS ANGELES, CA 90038
(323) 769-6149
(323) 957-2597
Mailing address
4164 LEIMERT BLVD, LOS ANGELES, CA 90008
(323) 630-6864
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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