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Individual

MRS. SUSAN MARIE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
958 HIGHWAY 46 E, BATESVILLE, IN 47006-7600
(812) 933-1402
(812) 933-1505
Mailing address
958 HIGHWAY 46 E, BATESVILLE, IN 47006-7600
(812) 933-1402
(812) 933-1505

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
05006299A
IN

Other

Enumeration date
06/03/2010
Last updated
06/03/2010
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