Individual
MRS. GRACIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
49 CHAMBERS ST # 51, SIXTH FLOOR, NEW YORK, NY 10007-1209
(501) 554-9985
Mailing address
3225 93RD ST, APT. B9, EAST ELMHURST, NY 11369-2464
(501) 554-9985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019061-1
NY
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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