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Individual
JOSHUA C FEENEY
Active
Individual
JOSHUA C FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8677
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004224
IOWA PT LICENSE
IA
01
—
056608
MEDICARE
CA
01
—
070-016238
ILLINOIS PT LICENSE NO
IL
01
—
I18344009
IOWA MEDICARE NO
IA
01
—
K50540
ILLINOIS MEDICARE PTAN
IL
Enumeration date
03/03/2008
Last updated
09/19/2017
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