IndividualActive
Brandi Phillips
NPI 1770802415 · Occupational Therapy Assistant · Summit, MS
Provider details
- NPI number
- 1770802415
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA1920 (MS)
Mailing address
10 Medical Blvd
Hattiesburg, MS 39401-7230
Registry dates
- Enumerated
- 2010-05-20
- Last updated
- 2010-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.