Individual
MS. AMANDA D'LAYNE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(806) 470-2901
Mailing address
214 BLUE MOUNTAIN RD, ROSWELL, NM 88201-9407
(806) 470-2901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2443
NM
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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