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JENNIFER DIANE PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
7725 N COLLEGE AVE, INDIANAPOLIS, IN 46240-2504
(317) 253-1481
Mailing address
7725 N COLLEGE AVE, INDIANAPOLIS, IN 46240-2504
(317) 253-1481

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
225X00000X
Occupational Therapist
31003876A
IN

Other

Enumeration date
01/09/2020
Last updated
02/04/2020
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