Individual
MRS. MADELINE FEENSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8052 W MAIN ST, RATHDRUM, ID 83858-4916
(208) 503-6173
(208) 712-6808
Mailing address
PO BOX 793, RATHDRUM, ID 83858-0793
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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