Individual
JANNIE SUE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2917 14TH AVE NE, CONOVER, NC 28613
(828) 291-3523
Mailing address
2917 14TH AVE NE, CONOVER, NC 28613
(828) 291-3523
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
3125
NC
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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