Individual
SUSIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 NW EXPRESSWAY, SUITE 809, OKLAHOMA CITY, OK 73112-5474
(866) 848-8813
Mailing address
1649 SARATOGA WAY, EDMOND, OK 73003-3552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1397
OK
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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