Individual
MS. KRISTEN MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
326 CATHERINE ST, UTICA, NY 13501-1209
(315) 292-4516
Mailing address
36 MERRITT PL, NEW HARTFORD, NY 13413-2021
(315) 292-4516
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
NY
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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