Provider Demographics
NPI:1801121660
Name:PHELPS, JENNIFER NOEL (PT)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:NOEL
Last Name:PHELPS
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Gender:F
Credentials:PT
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Mailing Address - Street 1:222 JACOBS LADDER
Mailing Address - Street 2:DARMA, LLC
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768
Mailing Address - Country:US
Mailing Address - Phone:828-966-9036
Mailing Address - Fax:828-966-4538
Practice Address - Street 1:245 ROSMAN HWY
Practice Address - Street 2:DARMA, LLC (CENTER FOR PERFECT BALANCE)
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712
Practice Address - Country:US
Practice Address - Phone:828-966-9036
Practice Address - Fax:828-966-4538
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
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Provider Licenses
StateLicense IDTaxonomies
NC12367225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist