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Individual

SHELBY N PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
123 N MAIN ST, LONE STAR, TX 75568
(903) 656-2419
Mailing address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
(903) 247-0484
(930) 247-0485

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1218693
TX

Other

Enumeration date
07/24/2012
Last updated
09/25/2018
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