Individual
JENNIFER LYNN PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7 CONCORD CIR, MILLIS, MA 02054-1419
(781) 953-1873
Mailing address
7 CONCORD CIR, MILLIS, MA 02054-1419
(781) 953-1873
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2699
MA
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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