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NPI Code Detail

MEDICARE: JENNIFER FELTEN

MEDICARE: JENNIFER FELTEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantTE1002235PA

General Provider Information

NPI Number : 1073982260
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER FELTEN
Provider Business Mailing Address
First Line : 4002 PLUMSTEAD AVE
Second Line :
City : DREXEL HILL
State : PA
Zip : 19026-3414
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3500 W CHESTER PIKE
Second Line :
City : NEWTOWN SQUARE
State : PA
Zip : 19073-4101
Country : US
Telephone Number : 610-359-4421
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2015
Last Update Date : 09/18/2015

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