MRS. Carol J Feldewerth, PTA

NPI #1760939433 in Godfrey, Illinois

Provider Information

NPI Number: 1760939433
Entity Type: Individual
Name: MRS. Carol J Feldewerth, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 9, 2016
Last Updated: Sep 9, 2016

Practice Location

Address: 1373 DADRIAN PROFESSIONAL PARK
City: Godfrey
State: Illinois
ZIP Code: 62035-1767
Phone: (618) 467-7062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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