Individual
MRS. JEANIE MARIE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
379 N VIRAGE ST, ORANGE, CA 92869-2856
(714) 997-6271
Mailing address
1401 N HANDY ST, ORANGE, CA 92867-4434
(714) 628-4000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18039
CA
225XP0200X
Pediatric Occupational Therapist
18039
CA
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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