Provider Demographics
NPI:1003854381
Name:FEINGOLD, JUDY D (OTR/L)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:D
Last Name:FEINGOLD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:E
Other - Last Name:DEMARCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3900 JERMANTOWN RD STE 250
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4946
Mailing Address - Country:US
Mailing Address - Phone:703-910-5006
Mailing Address - Fax:888-314-6706
Practice Address - Street 1:3900 JERMANTOWN RD STE 250
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-4946
Practice Address - Country:US
Practice Address - Phone:703-910-5006
Practice Address - Fax:888-314-6706
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004084225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist