Individual
MONICA ANN PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
44 ELM ST, SAN CARLOS, CA 94070-2209
(650) 595-1255
Mailing address
44 ELM ST, SAN CARLOS, CA 94070-2209
(650) 595-1255
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
10350
CA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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