Healthcare Provider Details

I. General information

NPI: 1639249576
Provider Name (Legal Business Name): DEBORAH SUE FEINER RPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 BEETLESTONE DR
WILLIAMSVILLE VT
05362
US

IV. Provider business mailing address

PO BOX 94 13 BEETLESTONE DR
WILLIAMSVILLE VT
05362
US

V. Phone/Fax

Practice location:
  • Phone: 802-348-7768
  • Fax:
Mailing address:
  • Phone: 802-348-7768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0400000913
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: