Individual
TYLER DANIEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(402) 334-1919
(402) 334-6844
Mailing address
1808 RIDGEVIEW DR, PAPILLION, NE 68046-8238
(402) 416-6891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1712
NE
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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