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 |