Individual
EMILY BENNETT PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OT R/L
Contact information
Practice address
4640 MARTIN RD, CUMMING, GA 30041-5542
(678) 679-1261
Mailing address
271 WRIGHTS MILL WAY, CANTON, GA 30115-7511
(404) 425-8733
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005609
GA
Other
Enumeration date
12/05/2012
Last updated
10/27/2016
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