Healthcare Provider Details

I. General information

NPI: 1386568160
Provider Name (Legal Business Name): MS. KATHERINE JEAN PHILLIPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4391 S 5TH ST
EMMAUS PA
18049-4537
US

IV. Provider business mailing address

4391 S 5TH ST
EMMAUS PA
18049-4537
US

V. Phone/Fax

Practice location:
  • Phone: 484-735-5459
  • Fax:
Mailing address:
  • Phone: 484-735-5459
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOP010791
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: