Individual
ELLIOTT PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
COTA
Contact information
Practice address
3878 RUFFIN RD, SAN DIEGO, CA 92123-1842
(619) 795-9925
Mailing address
3904 DAY FLOWER CT, COLUMBIA, MO 65203-6108
(573) 514-9606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
71566
CA
Other
Enumeration date
07/08/2026
Last updated
07/08/2026
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