Individual
MRS. MONICA LEE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
30072 23RD AVE, GOBLES, MI 49055-9698
(269) 569-5012
Mailing address
30176 23RD AVE, GOBLES, MI 49055-9698
(269) 569-5012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010580
MI
Other
Enumeration date
04/02/2019
Last updated
08/20/2024
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