Individual
RENEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
586 1ST ST, IDAHO FALLS, ID 83401-3929
(208) 523-6988
Mailing address
1437 ALAYSSA DR, IDAHO FALLS, ID 83402-5234
(208) 313-5123
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6371661
ID
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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