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NPI Code Detail

MEDICARE: EMMA CLAIRE PHILLIPS

MEDICARE: EMMA CLAIRE PHILLIPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist

General Provider Information

NPI Number : 1336784180
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA CLAIRE PHILLIPS
Provider Business Mailing Address
First Line : 2606 COOPER AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-5920
Country : US
Telephone Number : 701-315-0339
Fax Number :
Provider Business Practice Location Address
First Line : 11681 VOYAGER PKWY STE 150
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-3864
Country : US
Telephone Number : 719-344-9342
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2019
Last Update Date : 11/15/2021

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Directions to “ EMMA CLAIRE PHILLIPS ” Practice Location

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