Individual
MISS JAMIE O'NEAL PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-9581
Mailing address
2454 FRINK LAKE DR, SOUTHPORT, NC 28461-7832
(910) 620-0450
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4548
NC
Other
Enumeration date
12/06/2008
Last updated
12/06/2008
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