Most Relevant Information
Provider Data
| NPI Number: | 1003501339 |
| Provider Name: | SARA PHILLIPS CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SA13158 |
Most Important Dates
| Enumeration Date: | 04/11/2023 |
| Last Updated: | 04/11/2023 |
Provider Practice Location
120 PINE ISLAND RD
NORTH FORT MYERS
FL
339033740
Practice Location Phone/Fax
| Phone: | 2399952258 |
| Fax: |
Provider Mailing Location
7583 SIKA DEER WAY
FORT MYERS
FL
339665719
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |