Provider Demographics
NPI:1447566104
Name:FEIGEL, DEBORAH MYERS (PT)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MYERS
Last Name:FEIGEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 SILVERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-1338
Mailing Address - Country:US
Mailing Address - Phone:215-868-8181
Mailing Address - Fax:215-483-6010
Practice Address - Street 1:4419 SILVERWOOD ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19127-1338
Practice Address - Country:US
Practice Address - Phone:215-868-8181
Practice Address - Fax:215-483-6010
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003319L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT003319LOtherPA PT LICENSE