Individual
JENNIFER RUSSELL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC, NMT
Contact information
Practice address
50 N PLYMOUTH AVE, ROCHESTER, NY 14614-1221
(585) 454-4596
Mailing address
60 WOODY LN, ROCHESTER, NY 14625-1316
(585) 402-0773
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
225A00000X
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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