Individual
MARISA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9550 SAN MATEO BLVD NE STE A, ALBUQUERQUE, NM 87113-2313
(505) 302-6850
Mailing address
9550 SAN MATEO BLVD NE STE A, ALBUQUERQUE, NM 87113-2313
(505) 302-6850
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT20240155
NM
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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