Individual
CAROL MARY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1330 PAUL AVE, SCHENECTADY, NY 12306-2810
(518) 377-6283
Mailing address
1330 PAUL AVE, SCHENECTADY, NY 12306-2810
(518) 377-6283
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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