| NPI | 1083908016 |
|---|---|
| Former Name | MORGAN MICHELLE PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AL PTA7400) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TN PTA4923) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2015-12-18 |