Individual
KENNETH ONTARIO FELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
101 CHAPMAN HILL RD, CLEMSON, SC 29631-2194
(864) 653-4071
(864) 653-4074
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8604
SC
2251N0400X
Neurology Physical Therapist
8604
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH3575
—
SC
Enumeration date
06/09/2017
Last updated
12/07/2022
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