MISS Crystal Gayle Phillips, COTA/L
NPI #1154788420 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1154788420
- Entity Type
- Individual
- Name
- MISS Crystal Gayle Phillips, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Jan 18, 2016
- Last Updated
- Jan 18, 2016
Practice Location
- Address
- 20063 STATE ROUTE 410 E
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391-8460
- Phone
- (253) 447-8562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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