| Doctor Name: | MR. PETER A. PHILIP |
| NPI Number: | 1558352815 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 5593 |
| Business Practice Address: | 42 Vitti St New Canaan, CT - 068404823 |
| Business Phone Number: | 2039663076 |
| Business Fax Number: | |
| Mailing Address: | 145 Szost Dr, FAIRFIELD |
| State: | CT |
| Postal Code: | 068244041 |
| Phone Number: | 2033621241 |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2005 |
| NPI Last Update Date: | 07/23/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 5593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |