Individual
MRS. LINDA JEAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2901 BRIDGEPORT WAY W, UNIVERSITY PLACE, WA 98466-4614
(253) 528-7986
Mailing address
32324 SE 307TH ST, RAVENSDALE, WA 98051-8946
(206) 999-1676
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61202442
WA
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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