NPI 1649720152
Jordyn Alese Phelps, COTAL
Practice location
- Address
- 683 State Ave B, Dickinson, ND 58601-4660
- Phone
- (701) 483-9400
- Mailing address
- 1958 1st St W, Dickinson, ND 58601-2426
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1649720152
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Oct 2016
- Record last updated
- 3 Dec 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.