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Individual

MS. CAROL LEE PHELAN-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L CHT

Contact information

Practice address
1921 W HOSPITAL DR, HEALTHSOUTH REHAB HOSPITAL, TUCSON, AZ 85704-7806
(520) 544-5442
(520) 544-5430
Mailing address
PO BOX 90162, TUCSON, AZ 85752-0162
(520) 579-0078

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0610
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0610
OCCUPATIONAL THERAPIST
AZ
01
9105000884
CERTIFIED HAND THERAPIST
AZ
Enumeration date
03/26/2008
Last updated
03/26/2008
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