Individual
JASON PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4 INDEPENDENCE AVE, HAMPDEN, ME 04444-1300
(207) 991-1227
Mailing address
4 INDEPENDENCE AVE, HAMPDEN, ME 04444-1300
(207) 991-1227
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT3111
ME
Other
Enumeration date
10/23/2016
Last updated
10/23/2016
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