Individual
DEBRA MARIE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
909 E 4TH ST, BEARDSTOWN, IL 62618-1316
(816) 752-8245
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003011
IL
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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