Individual
MR. GREGORY RAY PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 TURNBERRY DR, JEFFERSONVILLE, IN 47130-5094
(502) 299-9555
Mailing address
2307 TURNBERRY DR, JEFFERSONVILLE, IN 47130-5094
(502) 299-9555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003420A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267020A
—
IN
Enumeration date
07/02/2007
Last updated
05/16/2020
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