Individual
MRS. BARBARA HEPWORTH PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 CLINTON RD, LATHAM, NY 12110-4200
(518) 785-7451
Mailing address
91 FIDDLERS LN, LATHAM, NY 12110-5343
(518) 785-7451
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003152-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
003152-1
NY
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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