Individual
MR. PHILIP CRAIG WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S. O.T.
Contact information
Practice address
130 RAVINE RD, KINGSPORT, TN 37660
(423) 224-5535
(423) 224-5544
Mailing address
309 HIDDEN ACRES RD, KINGSPORT, TN 37664-5613
(423) 349-4849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000001007
TN
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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