Provider Demographics
NPI:1295252922
Name:FELDMAN, BIRA ANNE (OTR/L)
Entity type:Individual
Prefix:
First Name:BIRA
Middle Name:ANNE
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BIRA
Other - Middle Name:ANNE
Other - Last Name:MALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:5 QUAIL
Mailing Address - Street 2:
Mailing Address - City:PORTOLA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94028-8022
Mailing Address - Country:US
Mailing Address - Phone:415-602-7304
Mailing Address - Fax:
Practice Address - Street 1:650 CLARK WAY
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2300
Practice Address - Country:US
Practice Address - Phone:650-326-5530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-23
Last Update Date:2017-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7356225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist