Individual
JANE ELLEN PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
160 SW 12TH AVE, DEERFIELD BEACH, FL 33442-3119
(954) 574-5277
(754) 227-2717
Mailing address
160 SW 12TH AVE, DEERFIELD BEACH, FL 33442-3119
(954) 574-5277
(754) 227-7217
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA29694
FL
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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