Individual
CAROLYN H PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
770 WASHINGTON ST, SUITE 207, SAN DIEGO, CA 92103-2209
(619) 299-5000
(619) 299-1549
Mailing address
770 WASHINGTON ST, SUITE 207, SAN DIEGO, CA 92103-2209
(619) 299-5000
(619) 299-1549
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT461 9511000046
CA
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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