Individual
RAQUELLE ELIZABETH FELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2442 TONGASS AVE, KETCHIKAN, AK 99901-5928
(907) 225-7808
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
152000
AK
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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