Individual
MRS. SHALA HENDRY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
64 VICTORIA LN, LAVONIA, GA 30553-1450
(706) 498-4215
(706) 335-5383
Mailing address
64 VICTORIA LN, LAVONIA, GA 30553-1450
(706) 498-4215
(706) 335-5383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003215
GA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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