Organization
PHILLIPS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER NICOLE PHILLIPS M.S., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(479) 244-0371
Entity
Organization
Contact information
Practice address
701 PHILLIPS PL STE 4, HUNTSVILLE, AR 72740-6266
(479) 244-0371
Mailing address
422 MADISON 8520, HUNTSVILLE, AR 72740-5026
(479) 244-0371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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