Individual
ANTHONY MICHAEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
1450 BESSIE AVENUE, TRACY, CA 95376
(209) 835-4888
(209) 835-6424
Mailing address
413 GOLDEN LEAF CT, TRACY, CA 95377-1110
(209) 835-4888
(209) 835-6424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26664
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00007
UNITED HEALTH CARE
CA
01
—
098313
HEALTH NET
CA
01
—
65730
INTERPLAN
CA
05
—
GR0087960
—
CA
01
—
PT00026664
BLUE CROSS
CA
01
—
ZZZ09778Z
BLUE SHIELD
CA
Enumeration date
07/21/2006
Last updated
04/07/2008
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