Individual
JASMINE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3482 LANCING CT, MACON, GA 31217-6212
(478) 284-1061
Mailing address
3482 LANCING CT, MACON, GA 31217-6212
(478) 284-1061
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001304
VA
224Z00000X
Occupational Therapy Assistant
OP007998
PA
224Z00000X
Occupational Therapy Assistant
Primary
OTA001527
GA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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