Individual
JEFFREY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1190 E MISSOURI AVE, PHOENIX, AZ 85014-2734
(602) 393-0520
Mailing address
8531 E KIOWA AVE., MESA, AZ 85209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6512
AZ
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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