Individual
MR. MICHAEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
211 SILVER LAKE RD, MIDDLETOWN, DE 19709-1601
(302) 378-3179
Mailing address
211 SILVER LAKE RD, MIDDLETOWN, DE 19709-1601
(302) 378-3179
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000311
DE
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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