Individual
KATHERINE B PHILLIPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
Mailing address
5915 N EMERSON AVE, INDIANAPOLIS, IN 46220-5335
(574) 286-2435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31006923A
LICENSE NUMBER
IN
Enumeration date
07/29/2019
Last updated
11/11/2019
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