Individual
MS. SHANNA DANIELLE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
5334 OLYMPIC DR NW STE 101, GIG HARBOR, WA 98335-1722
(253) 853-5155
(253) 853-5150
Mailing address
5334 OLYMPIC DR NW STE 101, GIG HARBOR, WA 98335-1722
(253) 853-5155
(253) 853-5150
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT60059342
—
Other
Enumeration date
01/21/2009
Last updated
06/08/2011
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