Individual
JULIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10 E WASHINGTON ST, PAINESVILLE, OH 44077-3460
(440) 525-7499
Mailing address
169 CUMMINGS DR, PAINESVILLE, OH 44077-3710
(440) 413-7288
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 1415
OH
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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