Individual
IRINA FEDULOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
1291 MARSHALL ST, 104A WILLOW BUILDING, REDWOOD CITY, CA 94063-2531
(650) 299-4854
(650) 299-4828
Mailing address
1291 MARSHALL ST, ROOM 104A WILLOW BUILDING, REDWOOD CITY, CA 94063-2531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43051
CA
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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