Provider Demographics
NPI:1194925719
Name:FEINSINGER, MAROLYN (OTR/L,CLT)
Entity type:Individual
Prefix:MS
First Name:MAROLYN
Middle Name:
Last Name:FEINSINGER
Suffix:
Gender:F
Credentials:OTR/L,CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WILLOWBROOK LN
Mailing Address - Street 2:#204
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-1643
Mailing Address - Country:US
Mailing Address - Phone:954-593-0154
Mailing Address - Fax:561-637-6532
Practice Address - Street 1:7 WILLOWBROOK LN
Practice Address - Street 2:#204
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1643
Practice Address - Country:US
Practice Address - Phone:954-593-0154
Practice Address - Fax:561-637-6532
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-22
Last Update Date:2007-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT6238174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6861AMedicare PIN