| NPI | 1194963009 |
|---|---|
| Former Name | EARNEST RAY PHILLIPS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2013-07-18 |