Individual
STEPHEN J FEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3218 DAUGHERTY DR STE 160, LAFAYETTE, IN 47909-4402
(765) 477-6464
(765) 477-6262
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014535A
IN
225100000X
Physical Therapist
2018039706
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018039706
PHYSICAL THERAPY
MO
Enumeration date
11/01/2018
Last updated
10/15/2024
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