Individual
KATHY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
157 ROSS CARTER BLVD, DUFFIELD, VA 24244-5116
(276) 431-2841
Mailing address
317 CHESTNUT ST, CHURCH HILL, TN 37642-7168
(276) 275-7986
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000119
VA
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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