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Individual

MRS. CARA M PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
500 E- BUSINESS WAY, SUITE C, CINCINNATI, OH 45241
(513) 389-3666
(513) 389-3665
Mailing address
6480 HARRISON AVENUE, SUITE 201, CINCINNATI, OH 45247
(513) 354-3700
(513) 354-7651

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT09725
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000610042
ANTHEM
OH
05
2987095
OH
01
530926
WELLCARE
OH
Enumeration date
01/18/2006
Last updated
10/02/2012
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