Individual
CYDNI M FEASTER
Active
Individual
CYDNI M FEASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004092
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001858967
DEPARTMENT OF WELFARE
PA
01
—
001868174
HIGHMARK BLUE SHIELD
PA
01
—
01858967
AMERICHOICE
PA
01
—
045805
MEDICARE
PA
01
—
106167200
OWCP
PA
01
—
17918
BRAVO/ELDERHEALTH
PA
01
—
2581987
AETNA
PA
01
—
2727388000
PERSONAL CHOICE
PA
01
—
2740711000
PERSONAL CHOICE
PA
01
—
32298
HEALTHPARTNERS
PA
Enumeration date
05/12/2006
Last updated
05/07/2016
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