Individual
TYLER FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
100 PRESIDENTIAL BLVD, BALA CYNWYD, PA 19004-1108
(610) 668-0904
Mailing address
4 LAMP POST LN, CHERRY HILL, NJ 08003-1209
(856) 745-6537
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006454
PA
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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