Individual
TAMMY PHILLIPS-BROOKSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT ASSISTANT
Contact information
Practice address
1601 SE 61ST ST, OKLAHOMA CITY, OK 73149-5005
(405) 532-2179
(405) 602-2392
Mailing address
1601 SE 61ST ST, OKLAHOMA CITY, OK 73149-5005
(405) 532-2179
(405) 602-2392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
210055
TX
224Z00000X
Occupational Therapy Assistant
Primary
962
OK
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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