Provider Demographics
NPI:1669084448
Name:FELDMAN, RACHEL M (DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:FELDMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1086 TEANECK RD STE 3E
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4855
Mailing Address - Country:US
Mailing Address - Phone:201-833-1333
Mailing Address - Fax:201-833-1390
Practice Address - Street 1:1086 TEANECK RD STE 3E
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4855
Practice Address - Country:US
Practice Address - Phone:201-833-1333
Practice Address - Fax:201-833-1390
Is Sole Proprietor?:No
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ4OQA01877700208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation