Individual
MS. ALEXANDRA FAITH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
957 NATIONAL HWY, LAVALE, MD 21502-7356
(240) 362-7718
Mailing address
4767 FRANKFORT HWY, RIDGELEY, WV 26753-7772
(304) 738-4045
(304) 738-4051
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
07532
MD
225X00000X
Occupational Therapist
Primary
1548
WV
Other
Enumeration date
08/30/2011
Last updated
06/30/2021
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