| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DUSTIN J PHILLIPS | 1598358244 | 2021-02-13 |
Dustin J Phillips is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598358244. Registration indicates Dustin J Phillips is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapy Assistant (Physical Therapy Assistant, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Dustin J Phillips |
| Practice Office Address | 4310 BAYSIDE DR KISSIMMEE, FL US |
| Practice Office Telephone | 8133125135 |
| Mailing Address | 4310 BAYSIDE DR KISSIMMEE, FL 347466054 US |
| Business Telephone | 8133125135 |
| Code | Practice | License No State |
|---|---|---|
| 225200000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant Physical Therapy Assistant Speech/Occupational/Physical Therapy/Chiropractor Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 29196
FL |