Individual
JAKE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2021 CHURCH ST, SUITE 200, NASHVILLE, TN 37203-2021
(615) 324-1619
(615) 324-1618
Mailing address
2021 CHURCH ST, SUITE 200, NASHVILLE, TN 37203-2021
(615) 324-1619
(615) 324-1618
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
5183
TN
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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