Individual
MICHELLE MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1521 E COSTILLA AVE, CENTENNIAL, CO 80122-1381
(303) 795-2833
Mailing address
1521 E COSTILLA AVE, CENTENNIAL, CO 80122-1381
(303) 795-2833
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3204
CO
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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