Individual
LAURA D FELDER
Active
Individual
LAURA D FELDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305202046
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
239376
ANTHEM BC
—
05
—
8954717
—
VA
Enumeration date
08/04/2008
Last updated
08/04/2008
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