Individual
MRS. JO ELLYN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
833 16TH AVE, MOLINE, IL 61265
(309) 764-6744
Mailing address
833 16TH AVE, MOLINE, IL 61265-3808
(309) 764-6744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
IL
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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