Jason Phelps, OTR/L

NPI #1215488416 in Hampden, Maine

Provider Information

NPI Number: 1215488416
Entity Type: Individual
Name: Jason Phelps, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: OTR/L
Enumeration Date: Oct 23, 2016
Last Updated: Oct 23, 2016

Practice Location

Address: 4 INDEPENDENCE AVE
City: Hampden
State: Maine
ZIP Code: 04444-1300
Phone: (207) 991-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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