Individual
MACI PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14339 N 154TH EAST AVE, COLLINSVILLE, OK 74021-6866
(918) 493-0914
Mailing address
14339 N 154TH EAST AVE, COLLINSVILLE, OK 74021-6866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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