Individual
MRS. LYNAIRE ANNE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W 4TH ST, VANCOUVER, WA 98660-3493
(360) 258-1637
(360) 314-2627
Mailing address
210 W 4TH ST, VANCOUVER, WA 98660-3493
(360) 258-1637
(360) 314-2627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4490
WA
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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