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1003155698
PHILLIP ANTHONY HOUSE
ROANOKE, VA
NPI
1003155698
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131000112)
Enumeration Date
2013-02-03
Last Update Date
2016-06-10
Business Address
PHILLIP ANTHONY HOUSE COTA/L
3585 BRAMLETON
ROANOKE, VA 24018-2840
Phone number: 540-776-1029
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Mailing Address
PHILLIP ANTHONY HOUSE COTA/L
3585 BRAMLETON
ROANOKE, VA 24018-2840
Phone number: 540-776-1029
Copy
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