Individual
MICHELLE DAWN MCPHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
7035 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1753
(612) 413-8780
Mailing address
7035 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1753
(612) 413-8780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
105471
MN
Other
Enumeration date
08/28/2017
Last updated
03/06/2024
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