Mrs Kimberly Diane Phillips, OT/L, CSSID is a
Occupational Therapist based in Clymer, New York. Mrs Kimberly Diane Phillips is licensed to practice in New York (license number 004470-1) and her current practice location is
8672 E Main St, Clymer, New York. She can be reached at her office (for appointments etc.) via phone at
(716) 355-4444.
NPI number for Mrs Kimberly Diane Phillips is 1851673859 and her current mailing address is 7374 Dar Ln, North East, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851673859.
Healthcare Provider's Profile
| Full Name | Mrs Kimberly Diane Phillips |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 8672 E Main St, Clymer, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851673859
- Provider Enumeration Date: 09/15/2011
- Last Update Date: 09/15/2011
Medical Identifiers
Medical identifiers for Mrs Kimberly Diane Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851673859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | 004470-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Diane Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kimberly Diane Phillips, OT/L, CSSID
7374 Dar Ln,
North East, PA 16428-3886
Ph: (814) 725-3637 | Mrs Kimberly Diane Phillips, OT/L, CSSID
8672 E Main St,
Clymer, NY 14724-9713
Ph: (716) 355-4444 |
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