Individual
MRS. KRISTA MARIE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2495 MAPLEWOOD DR, SUITE 313, MAPLEWOOD, MN 55109-1984
(651) 770-8884
(651) 770-8151
Mailing address
3862 GOODWIN AVE N, OAKDALE, MN 55128-3020
(651) 770-8884
(651) 770-8151
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102751
MN
Other
Enumeration date
02/21/2007
Last updated
09/29/2015
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