Individual
SUSAN L PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L, LMT
Contact information
Practice address
4438 WITHROWWOOD CT, ORLANDO, FL 32837-5506
(407) 952-1103
Mailing address
4438 WITHROWWOOD CT, ORLANDO, FL 32837-5506
(407) 952-1103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13596
FL
Other
Enumeration date
07/08/2009
Last updated
09/20/2016
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