Individual
MR. CANDACE PATRICIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4895 PINE RIDGE DR, COLUMBUS, IN 47201-2569
(812) 342-3098
Mailing address
1309 S HIGHLAND DR, FRANKLIN, IN 46131-7804
(317) 738-0325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000963A
IN
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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