Individual
PATTI PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5230 SUSAN AVE, SARASOTA, FL 34231-4250
(619) 490-9388
Mailing address
5230 SUSAN AVE, SARASOTA, FL 34231-4250
(619) 490-9388
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 23957
FL
225200000X
Physical Therapy Assistant
PTA 8207
CA
225200000X
Physical Therapy Assistant
PTA 8276
OR
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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