Individual
THERESA FLORENTINA FEEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5539 HAVERFIELD RD, DAYTON, OH 45432-3551
(937) 520-5124
Mailing address
5539 HAVERFIELD RD, DAYTON, OH 45432-3551
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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