Individual
MRS. DENISE M PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3020 GORDON W SHELTON BLVD, FREDERICKSBURG, VA 22401-5010
(540) 370-8000
Mailing address
6704 MERRIDITH LN, FREDERICKSBURG, VA 22407-1783
(540) 548-1568
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000833
VA
Other
Enumeration date
09/10/2017
Last updated
09/10/2017
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