Individual
JILL FRANCES PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2676 CHURCH ST UNIT D2, CONWAY, SC 29526-4471
(843) 733-3031
(843) 279-0189
Mailing address
PO BOX 2397, PAWLEYS ISLAND, SC 29585-2397
(843) 235-0200
(843) 314-0013
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7455
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01386378
RAILROAD MEDICARE PROFESSIONAL REHABILITATION SERVICES INC
SC
01
—
P01386415
RAILROAD MEDICARE PRS 4 LLC
SC
01
—
P01386566
RAILROAD MEDICARE PRS II LLC
SC
Enumeration date
08/04/2014
Last updated
01/12/2026
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