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Individual
GEORGINA PHELPS
Active
Individual
GEORGINA PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
4581
CA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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