Individual
FELICIA BACKENROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 CONGRESS ST, SALEM, MA 01970-5529
(978) 620-1250
Mailing address
199 ROSEWOOD DR STE 250, DANVERS, MA 01923-1684
(978) 968-1700
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
202204
MA
Other
Enumeration date
05/24/2023
Last updated
07/19/2023
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