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1083830178
KELLY PHILLIPS
ORLAND PARK, IL
NPI
1083830178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IL 160003908)
Enumeration Date
2007-04-17
Last Update Date
2007-07-08
Business Address
-- KELLY PHILLIPS PTA
16170 KINGSPORT RD
ORLAND PARK, IL 60467-5602
Phone number: 708-349-6544
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Mailing Address
-- KELLY PHILLIPS PTA
309 W 35TH ST APT 201
STEGER, IL 60475-2025
Phone number: 708-349-6544
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