Individual
OLIVIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
(601) 290-3270
(601) 289-3499
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3900
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3375
MS
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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