Individual
STEPHEN WESLEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4123 KUYKENDALL RD, CHARLOTTE, NC 28270-4449
(704) 708-9931
Mailing address
1523 OLD PEACHLAND RD, MARSHVILLE, NC 28103-7533
(201) 848-5144
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15138
NC
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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