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Individual

CHARLOTTE FEICHTMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT,PCS

Contact information

Practice address
18700 BEACH BLVD, SUITE 120, HUNTINGTON BEACH, CA 92648-2030
(714) 962-6760
(714) 962-5961
Mailing address
18700 BEACH BLVD, SUITE 120, HUNTINGTON BEACH, CA 92648-2030
(714) 962-6760
(714) 962-5961

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
9061
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OPT90610
BLUE SHIELD PROVIDER NUMB
CA
Enumeration date
12/27/2006
Last updated
07/08/2007
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