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Individual

JAMES EDWARD PHILLIPS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
SARASOTA HEALTH AND REHABILITATION, 1524 EAST AVENUE SOUTH, SARASOTA, FL 34239
(941) 365-2422
Mailing address
12561 HONORE AVE APT 202, SARASOTA, FL 34238-3264
(508) 507-0086

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17270
FL

Other

Enumeration date
12/09/2022
Last updated
12/09/2022
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