Individual
JIMMIE J PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-3828
Mailing address
315 CORNELIA AVE, MUKILTEO, WA 98275-1745
(425) 353-1204
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3036
WA
Other
Enumeration date
11/23/2005
Last updated
07/08/2007
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