Individual
AMY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(888) 873-4221
Mailing address
108 E 8TH ST, LARAMIE, WY 82070-4303
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
COTA-783
WY
Other
Enumeration date
08/04/2015
Last updated
08/06/2015
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