Individual
EMILY PHILP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15 VISTA SQ NW, ATLANTA, GA 30327-1046
(404) 219-5049
Mailing address
15 VISTA SQ NW, ATLANTA, GA 30327-1046
(404) 219-5049
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006903
GA
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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