Individual
MICHAEL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
30870 RUSSELL RANCH RD STE 330, WESTLAKE VILLAGE, CA 91362-7372
(805) 497-7015
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
300197
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT300197
CA
Other
Enumeration date
05/18/2021
Last updated
08/05/2024
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