Individual
MRS. CAROL J FELDEWERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1373 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1767
(618) 467-7062
Mailing address
117 FOX HILL CT, EDWARDSVILLE, IL 62025-5736
(618) 444-3528
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.001976
IL
Other
Enumeration date
09/09/2016
Last updated
09/09/2016
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