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Individual

MISS AUDREY ANN PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
355 EAST ERIE STREET, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
23 W SUFFIELD DR, ARLINGTON HEIGHTS, IL 60004-2466
(224) 659-4998

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010799
IL
225X00000X
Occupational Therapist
1869
HI
225X00000X
Occupational Therapist
OT18348
CA

Other

Enumeration date
12/08/2015
Last updated
06/10/2020
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