IndividualActive
Darisa Phillips, COTA/L
NPI 1609282003 · Occupational Therapy Assistant · Bryan, OH
Provider details
- NPI number
- 1609282003
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 05573 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
417 Oxford Dr
Bryan, OH 43506-1936
Phone: (419) 799-7598
Approximate (ZIP-level) locationGet directions
Mailing address
417 Oxford Dr
Bryan, OH 43506-1936
Registry dates
- Enumerated
- 2014-07-07
- Last updated
- 2014-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.