Individual
MRS. JOANNA MCKNIGHT PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8815 COLUMBIA 100 PKWY, COLUMBIA, MD 21045-2361
(877) 776-5802
Mailing address
12410 CLEARWATER WAY, UPPER MARLBORO, MD 20772-6613
(843) 476-1706
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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