Individual
MS. JULIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4109 HIGHWAY 98 WEST, SUMMIT, MS 39666
(601) 276-3900
(601) 276-3938
Mailing address
1321 POPLAR BLOUEVARD, JACKSON, MS 39202
(601) 955-8476
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA2849
MS
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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