Individual
MS. REBECCA J FELICIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT MS
Contact information
Practice address
101 PHOENIX AVENUE, SUITE 2D, ENFIELD, CT 06082-4471
(860) 741-2541
(860) 745-5264
Mailing address
101 PHOENIX AVENUE, SUITE 2D, ENFIELD, CT 06082-4471
(860) 741-2541
(860) 745-5264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006990
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006990CT03
ANTHEM BCBS CT
CT
Enumeration date
09/01/2006
Last updated
08/15/2014
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