IndividualActive
Jordyn Phelps, COTA/L
NPI 1649720152 · Occupational Therapy Assistant · Dickinson, ND
Provider details
- NPI number
- 1649720152
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 1342 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
683 State Ave
B
Dickinson, ND 58601-4660
Phone: (701) 483-9400
Approximate (ZIP-level) locationGet directions
Mailing address
1958 1st St W
Dickinson, ND 58601-2426
Registry dates
- Enumerated
- 2016-10-07
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.