Individual
DARISA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
417 OXFORD DR, BRYAN, OH 43506-1936
(419) 799-7598
Mailing address
417 OXFORD DR, BRYAN, OH 43506-1936
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05573
OH
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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