Individual
CHRISTIN C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 FRED RAINS DR, SHERWOOD, AR 72120-5457
(501) 834-0217
Mailing address
823 DONAGHEY AVE, CONWAY, AR 72034-5143
(501) 733-0057
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
AR
373H00000X
Day Training/Habilitation Specialist
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124083118
NPI
AR
05
—
280916795
—
AR
Enumeration date
04/07/2022
Last updated
05/08/2023
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