Phillips, Andrea

Phillips, Andrea is an individual health care provider with primary practice located at 6520 W Layton Ave 101, Greenfield WI 53220-4500. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Phillips, Andrea can be contacted via phone (414) 727-3340.

Contact Information

Primary practice address
6520 W Layton Ave 101 Greenfield WI 53220-4500
Phone: (414) 727-3340
Fax: (414) 282-9348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 600-19 Wisconsin

Profile Details

NPI number 1700101961
LBN Legal business name Phillips, Andrea
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2010
Last updated Mar 31st, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700101961 NPPES
Wisconsin Other 600-19 P.T.A. LICENSE

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