Individual
MRS. EMILY ANN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 RUTHFORD RD, STRUNK, KY 42649
(606) 354-4867
Mailing address
PO BOX 185, STRUNK, KY 42649-0185
(606) 354-4867
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2191
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GO126
—
KY
Enumeration date
01/31/2012
Last updated
01/31/2012
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