Individual
BRIAN S PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-2200
Mailing address
1515 PARK AVE, COLUMBUS, WI 53925-1618
(920) 623-1430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9749-024
WI
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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