Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | MA60093455 | WA |
NPI | 1427281328 |
---|---|
Provider Name | Barbara Phillips |
First Address | Wenatchee, WA 98801-6619 |
Second Address | Wenatchee, WA 98801-6619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2009 |
Last Update Date | 26/08/2009 |