Individual
CELECIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L, COMS, CVRT
Contact information
Practice address
3482 LANCING CT, MACON, GA 31217-6212
(478) 718-4254
Mailing address
3482 LANCING CT, MACON, GA 31217-6212
(478) 718-4254
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
1253
GA
225X00000X
Occupational Therapist
Primary
OT004672
GA
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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