Individual
MISS AUDREY ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
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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