Phillips, Tanya

Phillips, Tanya is an individual health care provider with primary practice located at 928 Mar Walt Dr Suite 104, Fort Walton Beach FL 32547-6706. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Phillips, Tanya can be contacted via phone (850) 863-4747.

Contact Information

Primary practice address
928 Mar Walt Dr Suite 104 Fort Walton Beach FL 32547-6706
Phone: (850) 863-4747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1912013723
LBN Legal business name Phillips, Tanya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912013723 NPPES
Florida Other OT9111 LICENSE #

Popular Providers